Individual provider · Type 1 NPI
Haiden H. Edore, NP-C
Primary Care Nurse Practitioner · Tifton, GA
NPI number
1306232491
Active
Practice location
2225 US Highway 41 N
Tifton, GA 31794-2749
Mailing address
907 18th St E Ste 400
Tifton, GA 31794-3684
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | NP210517 (GA) |
Primary Care Nurse Practitioner: Definition to come...
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About NPI 1306232491
Haiden H. Edore, NP-C's National Provider Identifier is 1306232491, issued on Apr 15, 2015. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Tifton, GA. The record was last updated on Oct 10, 2025.