Neil Edgerton M.D.

NPI 1063695773 - Pathology - 207ZC0500X

NPI Details
NPI 1063695773
Gender Male
Enumeration Date 12/17/2007
Last Updated 10/30/2012
Entity Type Individual
Active Over 9 years ago
Practice Location
11 UPPER RIVERDALE RD SW
RIVERDALE GA, 30274-2615, US
Phone (404) 991-8615
Fax
Business Location
11 UPPER RIVERDALE RD SW
RIVERDALE GA, 30274-2615, US
Phone
Fax
Toxanomy
Taxonomy Code 207ZC0500X
License State Georgia
License Number 64367
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According to our database, Dr. Neil Edgerton M.D. NPI is 1063695773, taxonomy code is 207ZC0500X and license number is 64367, license state is located at Georgia. Neil Edgerton M.D. physically located at 11 Upper Riverdale Rd Sw, Riverdale GA, 30274-2615. NPI Number Neil Edgerton M.D. has the Individual type.

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1063695773 NPI number is provided on an as is basis without warranty of any kind. 1063695773 is maintained by the National Plan & Provider Enumeration System. The contents of Neil Edgerton M.D. are for informational purposes only.