Edens, Christopher Alton
Edens, Christopher Alton is an sole proprietor health care provider with primary practice located at 2011 Commerce Dr N Ste 25 , Peachtree City GA 30269-3538. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Edens, Christopher Alton can be contacted via phone (478) 542-0311.Contact Information
Primary practice address
2011 Commerce Dr N Ste 25
Peachtree City GA 30269-3538
Phone: (478) 542-0311
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 42042 | Georgia |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 042042 | Georgia |
Profile Details
| NPI number | 1194762625 |
|---|---|
| LBN Legal business name | Edens, Christopher Alton |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 1st, 2006 |
| Last updated | May 7th, 2024 - about last year |
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 | 1194762625 | NPPES |
| Georgia | Other | 002023289 | UNITED HEALTHCARE MPIN |
| Georgia | MEDICAID | 000757182K | UNITED HEALTHCARE MPIN |
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