DARRELL CHAD EDENFIELD CSTFA NPI 1336412444

NPI Information

  • NPI: 1336412444
  • Provider Name: DARRELL CHAD EDENFIELD, CSTFA
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • Address: 11909 MCAULEY DR STE 100A2
    SAVANNAH, GA
    ZIP 31419
  • Phone: (912) 925-3767

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NPI Details

Darrell Chad Edenfield, CSTFA is a surgical physician assistant in Savannah, GA. Darrell Chad Edenfield, CSTFA NPI is 1336412444. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

11909 MCAULEY DR STE 100A2
SAVANNAH, GA
ZIP 31419-793
Phone: (912) 925-3767
Fax: (912) 925-3659

The enumeration date for this NPI number is 2/21/2012 and was last updated on 2/21/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AS0400XPhysician AssistantSurgicalNo
2363AS0400XPhysician AssistantSurgicalNB0030960GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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