Carter, J. Edwyn
Carter, J. Edwyn is an individual health care provider with primary practice located at 189 Jefferson Pkwy , Newnan GA 30263-5823. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Carter, J. Edwyn can be contacted via phone (770) 304-2220.Contact Information
Primary practice address
189 Jefferson Pkwy
Newnan GA 30263-5823
Phone: (770) 304-2220
Fax: (770) 304-2622
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 037971 | Georgia |
Profile Details
| NPI number | 1770566952 |
|---|---|
| LBN Legal business name | Carter, J. Edwyn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 22nd, 2005 |
| Last updated | Jun 16th, 2010 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770566952 | NPPES |
| Georgia | MEDICAID | 00606581A |
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