DR. JOHN JOSEPH EDWARDS


Address: 215 Beech Tree Holw, Sugar Hill, GA 30518-8005
Phone: 6787657322

DR. JOHN JOSEPH EDWARDS (NPI# 1740451970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1740451970
Entity Type Individual
Full Name DR. JOHN JOSEPH EDWARDS
Credential PH.D.
Practice Address 215 Beech Tree Holw
Sugar Hill
GA 30518-8005
Practice Telephone 6787657322
Mailing Telephone 6787657322
Enumeration Date 2008-03-15
Last Update Date 2008-03-15
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
PSY002084 GA Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
GA PSYCHOLOGY PSY002084 01

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Office Location

Street Address 215 BEECH TREE HOLW
City SUGAR HILL
State GA
Zip Code 30518-8005

Providers in the same location

NPI Name Taxonomy Address Enumeration
1861858128 Marga Rita Wastalu Optometrist 215 Beech Tree Holw, Sugar Hill, GA 30518-8005 2016-01-01

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1689221749 Family First Palliative Care LLC Internal Medicine 2299 Saint Kennedy Lane, Buford, GA 30518 2019-08-23
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1972073534 Heather Leigh Wilson Technician, Pathology 4271 South Lee Street Suite 101 & 102, Buford, GA 30518 2018-11-27
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1417476292 North Georgia Anesthesia Associates, LLC Nurse Anesthetist, Certified Registered 860 Creekview Bluff Way, Buford, GA 30518 2017-09-13
1639693278 Tara Banks Feddern Occupational Therapist 4319 South Lee Street Suite 300, Chandler Speech and Language Services, LLC, Buford, GA 30518 2017-07-26
1114457223 Jeremy Likens Specialist/Technologist, Other 5885 Cumming Hwy Ste 108, #259, Sugar Hill, GA 30518 2017-06-13
1609224336 Healthqwest Frontiers Inc Clinic/Center 4271 South Lee St., Suite 101 & 102, Buford, GA 30518 2016-06-03
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
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Competitor

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City SUGAR HILL
Zip Code 30518

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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