Edwards, Thomas Elliot
Edwards, Thomas Elliot is an sole proprietor health care provider with primary practice located at 2799 Lawrenceville Hwy Suite 104, Decatur GA 30033-2531. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Edwards, Thomas Elliot can be contacted via phone (678) 534-0200.Contact Information
Primary practice address
2799 Lawrenceville Hwy Suite 104
Decatur GA 30033-2531
Phone: (678) 534-0200
Fax: (678) 534-0201
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 038743 | Georgia |
Profile Details
| NPI number | 1326029125 |
|---|---|
| LBN Legal business name | Edwards, Thomas Elliot |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 9th, 2005 |
| Last updated | May 31st, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326029125 | NPPES |
| Georgia | MEDICAID | 000613082D |
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