Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. EDWARD DISTLER, D.O.
Active Sole ProprietorDR. EDWARD DISTLER, D.O. is a Cardiovascular Disease healthcare provider located in VALDOSTA, Georgia. NPI 1891180352 is currently active in the NPPES registry. Verify at CMS.
Cardiovascular Disease · VALDOSTA, GA
Registration Details
- NPI Number
- 1891180352
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 1, 2015 (11.398585964056 yrs)
- Last Updated
- Aug 23, 2022
- Licenses
-
007087 (AZ)91531 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2409 N PATTERSON ST STE 310VALDOSTA, GA, 316022512Browse GA providers · Browse ZIP 31602
- Phone
- 2294338160
- Fax
- 2292442707
- Primary Specialty
-
Cardiovascular Disease
207RC0000X
- Additional Specialty
- Cardiovascular Disease
Other Cardiovascular Disease Providers in VALDOSTA, GA
| Name | Credential | NPI |
|---|---|---|
| DR. GEORGE SIDNEY STATON | M.D. | 1215990098 |
| WILLIAM DOUGLAS LUKE JR. | MD | 1326250036 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.