Individual
DR. EDWARD AUGUSTUS LAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3886 PRINCETON LAKES WAY SW STE 120, ATLANTA, GA 30331-5511
(404) 681-0000
(678) 866-2538
Mailing address
PO BOX 570744, ATLANTA, GA 30357-3113
(404) 681-0000
(404) 365-8354
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
021539
GA
207RG0100X
Gastroenterology Physician
Primary
021539
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00204586B
—
GA
01
—
021539
LICENSE
GA
Enumeration date
08/31/2006
Last updated
06/12/2025
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