Provider Demographics
NPI:1821451345
Name:EDWARDS, THOMAS STROTHER (MD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:STROTHER
Last Name:EDWARDS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2675 N DECATUR RD STE 707
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30033-6135
Mailing Address - Country:US
Mailing Address - Phone:404-501-7710
Mailing Address - Fax:
Practice Address - Street 1:2675 N DECATUR RD STE 707
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30033-6135
Practice Address - Country:US
Practice Address - Phone:404-501-7710
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-01
Last Update Date:2022-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA91581207Y00000X, 207YX0602X, 207YX0602X
SC86103207YX0602X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YX0602XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngic Allergy
No207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology