Individual
DR. EDWARD DAVID HIMOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
55 WHITCHER ST NE, STE 460, MARIETTA, GA 30060-1171
(770) 427-7389
(770) 427-2845
Mailing address
55 WHITCHER ST NE, STE 460, MARIETTA, GA 30060-1171
(770) 427-7389
(770) 427-2845
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
018388
GA
207RN0300X
Nephrology Physician
Primary
GA018388
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000135231E
—
GA
05
—
000135231F
—
GA
05
—
000135231H
—
GA
05
—
000135231J
—
GA
05
—
000135231K
—
GA
05
—
000135231L
—
GA
05
—
000135231M
—
GA
05
—
000135231R
—
GA
05
—
000135231S
—
GA
05
—
000135231T
—
GA
05
—
000135231U
—
GA
05
—
000135231V
—
GA
05
—
000135231W
—
GA
05
—
000135231X
—
GA
05
—
000135231Y
—
GA
05
—
00135231A
—
GA
Enumeration date
06/10/2005
Last updated
08/01/2019
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