Provider Demographics
NPI:1578982724
Name:EDWARDS, LINDSAY (MD PHD)
Entity Type:Individual
Prefix:DR
First Name:LINDSAY
Middle Name:
Last Name:EDWARDS
Suffix:
Gender:F
Credentials:MD PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:382 CHERRY ST APT 402
Mailing Address - Street 2:
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31201-3348
Mailing Address - Country:US
Mailing Address - Phone:720-480-5976
Mailing Address - Fax:
Practice Address - Street 1:1062 FORSYTH ST STE 2A
Practice Address - Street 2:
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31201
Practice Address - Country:US
Practice Address - Phone:478-742-6738
Practice Address - Fax:478-742-6153
Is Sole Proprietor?:No
Enumeration Date:2014-04-15
Last Update Date:2018-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA80431207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology