CHARLES EDGE III


Address: 4770 Buford Highway, Atlanta, GA 30341
Phone: 7704883339

CHARLES EDGE III (NPI# 1568986313) 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) 1568986313
Entity Type Individual
Full Name CHARLES EDGE III
Credential NP
Practice Address 4770 Buford Highway
Atlanta
GA 30341
Mailing Address 4770 Buford Hwy
Atlanta
GA 30341-3717
Practice Telephone 7704883339
Enumeration Date 2017-08-02
Last Update Date 2017-08-02
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
RN243477 GA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 4770 BUFORD HIGHWAY
City ATLANTA
State GA
Zip Code 30341

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1982063913 Stepping Stone of Atlanta Community/Behavioral Health 3705 Chamblee Dunwoody Rd, Chamblee, GA 30341 2016-02-18
1013317577 Marne Day Counselor 3720 Chamblee Dunwoody Rd, Chamblee, GA 30341 2014-09-02
1013343680 Keelan Walker Speech-Language Pathologist 4961 Buford Highway Suite 201, Suite 201, Chamblee, GA 30341 2013-09-16
1578901955 Promonitor LLC Electrodiagnostic Medicine 3300 Northwest Expy Bldg 7, Atlanta, GA 30341 2013-06-07
1639415359 Lawanda B Cooke Health Educator 5280 Peachtree Ind Blvd, Chamblee, GA 30341 2012-12-28
1457602773 Arthur Macrae Wendel Family Medicine 4770 Buford Hwy Ms F60, Atlanta, GA 30341 2012-09-26
1760732325 Jennifer C Guerin Speech-Language Pathologist 2900 Chamblee Tucker Rd Bldg 11, Suite 200-c, Atlanta, GA 30341 2012-09-11
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1063042927 Mary Gillon Hall Nurse Practitioner 90 La Rue Pl Nw, Atlanta, GA 30327-4075 2020-01-20
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1265075170 Cecile Veronica Maner Nurse Practitioner 105 Collier Rd Nw Ste 3040, Atlanta, GA 30309-1733 2019-10-23
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Competitor

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City ATLANTA
Zip Code 30341

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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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