Individual
MR. JAMES WILLIAM EDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
745 POPLAR RD, NEWNAN, GA 30265-1618
(770) 400-1000
Mailing address
116 TWELVE PARKS TRL, SHARPSBURG, GA 30277-3671
(772) 349-2562
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN303983
GA
363L00000X
Nurse Practitioner
1648922
FL
367500000X
Certified Registered Nurse Anesthetist
1648922
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
RN303983
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3021611 00
—
FL
01
—
G2240A
FLORIDA BCBS
FL
Enumeration date
02/04/2007
Last updated
08/16/2023
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