Organization · NPI-2

Edson Medical Corp

Family Medicine · Sandy Springs, GA

NPI number1194013961

StatusActive

Last updated in NPPESJul 14, 2011

Details

NPI: 1194013961
Entity type: Organization (NPI-2)
Legal business name: Edson Medical Corp
Organization subpart: No
Enumeration date: Jul 14, 2011
Last updated: Jul 14, 2011

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207Q00000X	Family Medicine	–	–	Yes
207L00000X	Anesthesiology	–	–
207R00000X	Internal Medicine	–	–
207V00000X	Obstetrics & Gynecology	–	–
207X00000X	Orthopaedic Surgery	–	–
208000000X	Pediatrics	–	–
2084P0800X	Psychiatry & Neurology, Psychiatry	–	–
208D00000X	General Practice	–	–

Practice location

7260 Roswell Rd Ne
Sandy Springs, GA 30328-1420

Phone 770-576-0044 · Fax 678-336-9470

Mailing address

7260 Roswell Rd Ne
Sandy Springs, GA 30328-1420

Authorized official

Frank Edson
President
7705760044

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