Healthcare Provider Details

I. General information

NPI: 1578563730
Provider Name (Legal Business Name): EDWARD F STRINGER IV M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/28/2005
Last Update Date: 03/26/2026
Certification Date: 03/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

829 PLAZA AVE
EASTMAN GA
31023-6757
US

IV. Provider business mailing address

829 PLAZA AVE
EASTMAN GA
31023-6757
US

V. Phone/Fax

Practice location:
  • Phone: 478-448-8272
  • Fax: 478-448-8273
Mailing address:
  • Phone: 478-448-8272
  • Fax: 478-448-8273

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number052638
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code208C00000X
TaxonomyColon & Rectal Surgery Physician
License Number052638
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: