Individual
THOMAS ELLIOT EDWARDS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2799 LAWRENCEVILLE HWY, SUITE 104, DECATUR, GA 30033-2531
(678) 534-0200
(678) 534-0201
Mailing address
2799 LAWRENCEVILLE HWY, SUITE 104, DECATUR, GA 30033-2531
(678) 534-0200
(678) 534-0201
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
038743
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000613082D
—
GA
Enumeration date
11/09/2005
Last updated
05/31/2011
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