Edwards, George T

Edwards, George T is an individual health care provider with primary practice located at 615 N Bonita Ave , Panama City FL 32401-3623. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Edwards, George T can be contacted via phone (850) 769-1511.

Contact Information

Primary practice address
615 N Bonita Ave Panama City FL 32401-3623
Phone: (850) 769-1511
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 9997 Tennessee

Profile Details

NPI number 1245235027
LBN Legal business name Edwards, George T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2005
Last updated Mar 17th, 2018 - about 6 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 1245235027 NPPES
Tennessee MEDICAID 3185490
Tennessee Other 6106933
Tennessee Other 4235689
Tennessee Other 202441
Tennessee MEDICAID 3832024
Tennessee Other 61680
Tennessee Other 202441
Tennessee Other 4139147

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