Edwards, Shelise

Edwards, Shelise is an individual health care provider with primary practice located at 235 Peachtree St Ne North Tower, Suite 2100, Atlanta GA 30303-1401. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is her primary health care specialty. Edwards, Shelise can be contacted via phone (770) 994-9326.

Contact Information

Primary practice address
235 Peachtree St Ne North Tower, Suite 2100 Atlanta GA 30303-1401
Phone: (770) 994-9326
Fax: (770) 994-4747
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 56453 Georgia
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 036-117579 Illinois

Profile Details

NPI number 1649345273
LBN Legal business name Edwards, Shelise
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2006
Last updated Apr 8th, 2013 - about 11 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 1649345273 NPPES
Illinois MEDICAID 036117579-1
Illinois MEDICAID 036117579
Illinois Other 036117579

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