Edwards, Buford Otto
Edwards, Buford Otto is an sole proprietor health care provider with primary practice located at 760 26Th Ave Se , Moultrie GA 31768-6799. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Edwards, Buford Otto can be contacted via phone (229) 985-1457.Contact Information
Primary practice address
760 26Th Ave Se
Moultrie GA 31768-6799
Phone: (229) 985-1457
Fax: (229) 890-9430
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 028160 | Georgia |
Profile Details
| NPI number | 1326001686 |
|---|---|
| LBN Legal business name | Edwards, Buford Otto |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 8th, 2006 |
| Last updated | Jan 25th, 2023 - 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 | 1326001686 | NPPES |
| Georgia | MEDICAID | 000411507A |
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