Donnelly, Edwin H.
Donnelly, Edwin H. is an sole proprietor health care provider with primary practice located at 975 Johnson Ferry Rd Ne Suite 370, Atlanta GA 30342-1619. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Retina Specialist is his primary health care specialty. Donnelly, Edwin H. can be contacted via phone (404) 250-1242.Contact Information
Primary practice address
975 Johnson Ferry Rd Ne Suite 370
Atlanta GA 30342-1619
Phone: (404) 250-1242
Fax: (404) 250-1232
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 019156 | Georgia |
| Allopathic & Osteopathic Physicians / Retina Specialist | 207WX0107X | 019156 | Georgia |
Profile Details
| NPI number | 1053315457 |
|---|---|
| LBN Legal business name | Donnelly, Edwin H. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 13th, 2005 |
| Last updated | Oct 4th, 2017 - about 7 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 | 1053315457 | NPPES |
| Georgia | Other | 581425151 | TAX ID |
| Georgia | MEDICAID | 00154206B | TAX ID |
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