Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | 21265 | GA |
NPI | 1033163787 |
---|---|
Provider Name | Dr. Edward Stanley Novey |
First Address | Athens, GA 30606-6316 |
Second Address | Athens, GA 30606-6316 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/05/2006 |
Last Update Date | 09/11/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00203431A | (05) | GA |
D40771 | (02) | GA |