Provider Demographics
NPI:1962763441
Name:DOLLAR, EDGAR JOSEPH II (DO)
Entity type:Individual
Prefix:DR
First Name:EDGAR
Middle Name:JOSEPH
Last Name:DOLLAR
Suffix:II
Gender:M
Credentials:DO
Other - Prefix:DR
Other - First Name:JOEY
Other - Middle Name:
Other - Last Name:DOLLAR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DO
Mailing Address - Street 1:PO BOX 370
Mailing Address - Street 2:
Mailing Address - City:FORTSON
Mailing Address - State:GA
Mailing Address - Zip Code:31808-0370
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:522 N CENTER ST
Practice Address - Street 2:
Practice Address - City:THOMASTON
Practice Address - State:GA
Practice Address - Zip Code:30286-3695
Practice Address - Country:US
Practice Address - Phone:706-646-4371
Practice Address - Fax:706-646-4372
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-31
Last Update Date:2021-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA70879207QS0010X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports MedicineGroup - Multi-Specialty
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program