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Contact Information

EDWARD P KANG, MD
460 NORTHSIDE CHEROKEE BLVD STE 100
CANTON, GA30115-8017
 Phone: 770-292-3490
 Fax: 770-721-5615
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vascular Surgery

2086S0129X 76 Physician/Peripheral Vascular Disease
 

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for EDWARD P KANG · (Male)

NPI Number 1154504082
Status Active
Credentials MD
Entity Individual
Enumeration date 12/13/2007
Last updated 04/27/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 70309
  • MI License # 4301086626
  • MN License # 54147
  • GA Medicaid 003135923A
  • GA Medicaid 003135923B
  • GA Medicaid 003135923D
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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