Edwards, Justin G.

Edwards, Justin G. is an individual health care provider with primary practice located at 979 E 3Rd St Ste C225 , Chattanooga TN 37403-3314. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Edwards, Justin G. can be contacted via phone (423) 778-5995.

Contact Information

Primary practice address
979 E 3Rd St Ste C225 Chattanooga TN 37403-3314
Phone: (423) 778-5995
Fax: (423) 778-3445
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA2874 Tennessee

Profile Details

NPI number 1184023400
LBN Legal business name Edwards, Justin G.
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2014
Last updated Dec 27th, 2019 - about 5 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 1184023400 NPPES
Tennessee Other PA2874 MEDICAL LICENSE

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