Individual
EDWIN B TIRADO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1315 JESSE JEWELL PKWY NE, SUITE #110, GAINESVILLE, GA 30501-3822
(770) 219-0023
(770) 219-0694
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420
(770) 219-8440
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
061866
GA
Other
Enumeration date
09/23/2005
Last updated
10/13/2020
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