Provider Demographics
NPI:1588698799
Name:EDWARD I GALAID, MD, LLC
Entity type:Organization
Organization Name:EDWARD I GALAID, MD, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:I
Authorized Official - Last Name:GALAID
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:770-718-0707
Mailing Address - Street 1:678 LANIER PARK DR
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30501-2061
Mailing Address - Country:US
Mailing Address - Phone:770-718-0707
Mailing Address - Fax:770-718-0056
Practice Address - Street 1:678 LANIER PARK DR
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:30501-2061
Practice Address - Country:US
Practice Address - Phone:770-718-0707
Practice Address - Fax:770-718-0056
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty