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Contact Information

EDMUND L SIMON, MD
1100 NORTHSIDE FORSYTH DR
STE 140
CUMMING, GA30041-6012
 Phone: 770-292-7000
 Fax: 770-292-7002
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
Indicates primary specialty

NPI Profile & details for EDMUND L SIMON · (Male)

NPI Number 1730366865
Status Active
Credentials MD
Entity Individual
Enumeration date 01/31/2008
Last updated 03/08/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 54670
  • GA Medicaid 468024628M
Hospital affiliation(s)
  • NORTHSIDE HOSPITAL - (Acute Care)
    1000 JOHNSON FERRY ROAD, NE
    ATLANTA, GA 30342
  • NORTHSIDE HOSPITAL CHEROKEE - (Acute Care)
    201 HOSPITAL ROAD
    CANTON, GA 30114
  • NORTHSIDE HOSPITAL FORSYTH - (Acute Care)
    1200 NORTHSIDE FORSYTH DRIVE
    CUMMING, GA 30041
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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