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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 Specialty Code Provider Type

Professional

101YP2500X
 

School

103TS0200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for TAMMY E EDGE · (Female)

NPI Number 1437340130
Status Active
Credentials LPC, EDS
Entity Individual
Enumeration date 08/07/2007
Last updated 11/01/2016 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • GA License # 004884
  • GA License # 454690
  • GA Medicaid 003169803A
Hospital affiliation(s) Not Available
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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