Organization
NOUVEAU MEDIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOY S EDWARDS NMD, APRN,MPH (CLINICAL MANAGER)
(678) 653-0045
Entity
Organization
Contact information
Practice address
600 PHIPPS BLVD NE APT 1304, ATLANTA, GA 30326-3342
(678) 653-0045
(404) 393-3640
Mailing address
600 PHIPPS BLVD NE APT 1304, ATLANTA, GA 30326-3342
(678) 653-0045
(404) 393-3640
Taxonomy
Speciality
Code
Description
License number
State
207QA0000X
Adolescent Medicine (Family Medicine) Physician
051126
GA
207QA0505X
Adult Medicine Physician
051126
GA
207RI0001X
Clinical & Laboratory Immunology (Internal Medicine) Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
GA
Enumeration date
10/05/2011
Last updated
02/01/2022
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