E EDWARD PROCTOR

LAWRENCEVILLE, GA
NPI1790771103
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RC0000X Internal Medicine, Cardiovascular Disease
(Licence: GA  32976)
Enumeration Date2005-09-21
Last Update Date2019-04-01
Business Address
E EDWARD PROCTOR MD
755 WALTHER RD
LAWRENCEVILLE, GA 30045
Phone number: 770-962-0399
Mailing Address
E EDWARD PROCTOR MD
755 WALTHER RD
LAWRENCEVILLE, GA 30045-8725
Phone number: 770-962-0399
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