Edge, Tammy E.

Edge, Tammy E. is an sole proprietor health care provider with primary practice located at 306 Academy Ave Ste 206 , Dublin GA 31021-5286. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Edge, Tammy E. can be contacted via phone (478) 216-6708.

Contact Information

Primary practice address
306 Academy Ave Ste 206 Dublin GA 31021-5286
Phone: (478) 216-6708
Fax: (478) 272-8181
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 004884 Georgia
Behavioral Health & Social Service Providers / School 103TS0200X 454690 Georgia

Profile Details

NPI number 1437340130
LBN Legal business name Edge, Tammy E.
Credentials LPC, EDS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 7th, 2007
Last updated Nov 1st, 2016 - about 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437340130 NPPES
Georgia MEDICAID 003169803A

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