Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Edwin Noel Centerwall, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1396279717

Dr. Edwin Noel Centerwall, MD is a Student in an Organized Health Care Education/Training Program in Dalton, Georgia. Practices as a sole proprietor. Licensed in Georgia and Oregon.

Licensed in
GA, OR
In the registry since
2017
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2918 E Walnut Ave
Dalton, GA 30721-8724
Phone: (706) 529-4600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 97174 (GA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Pediatrics Physician Taxonomy 208000000X · Licence MD199003 (OR)

Record details

NPI number1396279717
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 12, 2017
Last updated in NPPESApril 8, 2024
Certification dateApril 8, 2024
Mailing address2918 E Walnut Ave, Dalton, GA 30721-8724

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