Edore, Haiden H

Edore, Haiden H is an individual health care provider with primary practice located at 2225 Us Highway 41 N , Tifton GA 31794-2749. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Edore, Haiden H can be contacted via phone (229) 391-4100.

Contact Information

Primary practice address
2225 Us Highway 41 N Tifton GA 31794-2749
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X RN210517 Georgia

Profile Details

NPI number 1306232491
LBN Legal business name Edore, Haiden H
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 15th, 2015
Last updated Mar 23rd, 2021 - about 4 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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