| Heirloom Health Limited | |
|
113 S Perry St Ste 106 Lawrenceville GA 30046-4811 | |
| (678) 509-3151 | |
| (678) 509-3157 |
| Full Name | Heirloom Health Limited |
|---|---|
| Speciality | Internal Medicine |
| Location | 113 S Perry St Ste 106, Lawrenceville, Georgia |
| Authorized Official Name and Position | John Luis Viechweg (MANAGING MEMBER) |
| Authorized Official Contact | 9294289505 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heirloom Health Limited 113 S Perry St Ste 106 Lawrenceville GA 30046-4811 Ph: (678) 509-3151 | Heirloom Health Limited 113 S Perry St Ste 106 Lawrenceville GA 30046-4811 Ph: (678) 509-3151 |
| NPI Number | 1669381463 |
|---|---|
| Provider Enumeration Date | 09/05/2026 |
| Last Update Date | 09/19/2026 |
| Certification Date | 09/19/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669381463 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
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