Middlebrooks, Edward Scott
Middlebrooks, Edward Scott is an individual health care provider with primary practice located at 758 Old Norcross Rd Suite 100, Lawrenceville GA 30046-3385. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, which is considered as his primary health care specialty. Middlebrooks, Edward Scott can be contacted via phone (770) 962-4300.Contact Information
Primary practice address
758 Old Norcross Rd Suite 100
Lawrenceville GA 30046-3385
Phone: (770) 962-4300
Fax: (770) 339-7544
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine | 207XS0117X | 47624 | Georgia |
Profile Details
NPI number | 1801810932 |
---|---|
LBN Legal business name | Middlebrooks, Edward Scott |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 26th, 2006 |
Last updated | Apr 26th, 2010 - about 14 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 | 1801810932 | NPPES |
Georgia | MEDICAID | 000842278G | |
Georgia | MEDICAID | 000842278F |
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