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E Edward Proctor, MD

Internal Medicine, Cardiovascular Disease in Lawrenceville, GA. Individual provider (NPI-1).

NPI number1790771103
StatusActive
Last updated in NPPESApr 1, 2019

Details

NPI
1790771103
Entity type
Individual (NPI-1)
Name
E Edward Proctor
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Sep 21, 2005
Last updated
Apr 1, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RC0000X Internal Medicine, Cardiovascular Disease32976GAYes

Practice location

755 Walther Rd
Lawrenceville, GA 30045

Phone 770-962-0399 · Fax 770-995-0533

Mailing address

755 Walther Rd
Lawrenceville, GA 30045-8725

Phone 770-962-0399 · Fax 770-995-0533

Other practice locations

755 Walther Rd
Lawrenceville, GA 30045

Phone 770-962-0399 · Fax 770-995-0533

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