Doctor Name: | MR. JOHN DOUGLAS EDWARDS |
NPI Number: | 1184888497 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | R.P.A., RT(R) |
License Number: | 302476 |
Business Practice Address: | 20 Glenlake Pkwy Ne Atlanta, GA - 303283473 |
Business Phone Number: | 7706775857 |
Business Fax Number: | |
Mailing Address: | 4936 Chalden Ln Ne, MARIETTA |
State: | GA |
Postal Code: | 300661417 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 07/16/2008 |
NPI Last Update Date: | 07/16/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 247100000X |
License Number: | 302476 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Radiologic Technologist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is trained and qualified in the art and science of both ionizing and non-ionizing radiation for the purposes of diagnostic medical imaging, interventional procedures and therapeutic treatment. |