Mcdaniel, James Edmonds

Mcdaniel, James Edmonds is an individual health care provider with primary practice located at 601 Professional Dr Suite 160, Lawrenceville GA 30045-7698. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Mcdaniel, James Edmonds can be contacted via phone (678) 376-4242.

Contact Information

Primary practice address
601 Professional Dr Suite 160 Lawrenceville GA 30045-7698
Phone: (678) 376-4242
Fax: (678) 376-4245
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 021746 Georgia

Profile Details

NPI number 1275534943
LBN Legal business name Mcdaniel, James Edmonds
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2005
Last updated May 1st, 2008 - about 17 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 1275534943 NPPES
Georgia MEDICAID 00310373A

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