Individual
DR. EDWARD SCOTT MIDDLEBROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
758 OLD NORCROSS RD, SUITE 100, LAWRENCEVILLE, GA 30046-3385
(770) 962-4300
(770) 339-7544
Mailing address
758 OLD NORCROSS RD, SUITE 100, LAWRENCEVILLE, GA 30046-3385
(770) 962-4300
(770) 339-7544
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
47624
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000842278F
—
GA
05
—
000842278G
—
GA
Enumeration date
07/26/2006
Last updated
04/26/2010
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