Individual
EDWARD C CARDINAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AA
Contact information
Practice address
405 ARROWHEAD BLVD, SUITE C, JONESBORO, GA 30236-1254
(770) 478-9877
(770) 478-2908
Mailing address
239 GRANT ST SE, APT.179, ATLANTA, GA 30312
(770) 478-9877
(770) 478-2908
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
1452
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
857430290A
—
GA
Enumeration date
09/26/2006
Last updated
05/23/2008
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