Individual
DR. EDWIN H. DONNELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
975 JOHNSON FERRY RD NE, SUITE 370, ATLANTA, GA 30342-1619
(404) 250-1242
(404) 250-1232
Mailing address
975 JOHNSON FERRY RD NE, SUITE 370, ATLANTA, GA 30342-1619
(404) 250-1242
(404) 250-1232
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
019156
GA
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
019156
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00154206B
—
GA
01
—
581425151
TAX ID
GA
Enumeration date
06/13/2005
Last updated
10/04/2017
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