Victoria, Edgar Tating

Victoria, Edgar Tating is an individual health care provider with primary practice located at 1411 Piedmont Cutoff , Gadsden AL 35903. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine, Sports Medicine, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Victoria, Edgar Tating can be contacted via phone (256) 492-0131.

Contact Information

Primary practice address
1411 Piedmont Cutoff Gadsden AL 35903
Phone: (256) 492-0131
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine, Sports Medicine 204C00000X 00007957 Alabama
Allopathic & Osteopathic Physicians / Surgery 208600000X 7957 Alabama

Profile Details

NPI number 1023122421
LBN Legal business name Victoria, Edgar Tating
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2006
Last updated Mar 25th, 2013 - about 13 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 1023122421 NPPES
Alabama MEDICAID 143995 (COMPLEX)
Alabama Other 51046490
Alabama Other 51094372
Alabama Other 630736845
Alabama MEDICAID 143752 (WADLEY)
Alabama MEDICAID 143836 (CLEBURNE)
Alabama MEDICAID 143754 (ANNISTON)
Alabama MEDICAID 100906
Alabama MEDICAID 000046490
Alabama MEDICAID 009923940

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