Individual provider · Type 1 NPI

Peter Vernon Edblad, PA-C

Surgical Physician Assistant · Gainesville, GA

NPI number 1689554032 Active

Practice location

655 Jesse Jewell Pkwy SE
Gainesville, GA 30501-3756

Call (770) 532-7092 Map

Fax (770) 534-8145

Mailing address

3032 Shades Valley Ln
Gainesville, GA 30501-7438

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Surgical Physician Assistant Primary 363AS0400X13447 (GA)

Surgical Physician Assistant: Definition to come...

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About NPI 1689554032

Peter Vernon Edblad, PA-C's National Provider Identifier is 1689554032, issued on Sep 5, 2025. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Gainesville, GA. The record was last updated on Nov 18, 2025.