National Provider Identifier Database

TAMMY E EDGE, LPC, EDS – NPI #1437340130
Professional


Contact Information

TAMMY E EDGE, LPC, EDS
306 ACADEMY AVE STE 206
DUBLIN, GA31021-5286
Phone: 478-216-6708
Fax: 478-272-8181
Website:
Specialty Taxonomy Code
* Professional 101YP2500X
School 103TS0200X

* Indicates primary specialty

NPI Profile & details for TAMMY E EDGE

NPI Number 1437340130
Credentials LPC, EDS
Entity Individual
Enumeration date 08/07/2007
Last updated 11/01/2016 - About 10 years ago
Sole proprietor1 Yes
Identifiers
  • GA License #: 004884
  • GA License #: 454690
  • GA Medicaid: 003169803A
Hospital affiliation n/a

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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