Individual
DR. EDMUND LLOYD SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1100 NORTHSIDE FORSYTH DR, STE 140, CUMMING, GA 30041-6012
(770) 292-7000
(770) 292-7002
Mailing address
1100 NORTHSIDE FORSYTH DR, STE 140, CUMMING, GA 30041-6012
(770) 292-7000
(770) 292-7002
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
54670
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
468024628M
—
GA
Enumeration date
01/31/2008
Last updated
03/08/2021
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