NPI 1013279553

James Vincent Edwards, PAC

Practitioner Physician Assistant Stockbridge, GA

Practice location

Address: 1240 Eagles Landing Pkwy STE 300, Stockbridge, GA 30281-5173
Phone: (770) 506-4350
Fax: (770) 506-9860
Mailing address: 235 Peachtree St NE STE 2100, Atlanta, GA 30303-1405

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 006447 (GA)

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Registry record

NPI: 1013279553
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Jun 2012
Record last updated: 24 Jun 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.