Eden, James William

Eden, James William is an sole proprietor health care provider with primary practice located at 745 Poplar Rd , Newnan GA 30265-1618. He recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Eden, James William can be contacted via phone (770) 400-1000.

Contact Information

Primary practice address
745 Poplar Rd Newnan GA 30265-1618
Phone: (770) 400-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN303983 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 1648922 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 1648922 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN303983 Georgia

Profile Details

NPI number 1235277799
LBN Legal business name Eden, James William
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 4th, 2007
Last updated Aug 16th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235277799 NPPES
Florida MEDICAID 3021611 00
Florida Other G2240A

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