E EDWARD PROCTOR MD
NPI 1790771103
Internal Medicine - Cardiovascular Disease in Lawrenceville, GA

Active since September 21, 2005
755 WALTHER RD, LAWRENCEVILLE, GA 30045(770) 962-0399(770) 995-0533 Get Directions Write a Review

NPPES record last updated: April 1, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 1, 2019, Nov 14, 2017 (2 updates tracked since 2017).

About E Edward Proctor Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

E EDWARD PROCTOR MD (NPI 1790771103) is an individual cardiovascular disease provider in Lawrenceville, Georgia, licensed in Georgia (32976) and active in the NPI registry since September 2005. He maintains a secondary practice location in Lawrenceville.

NPPES Registry Identity

NPI1790771103
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameE EDWARD PROCTORCredential: MD
Location Address755 WALTHER RDLawrenceville, GA 30045
Mailing Address755 Walther RdLawrenceville, GA 30045-8725 · (770) 962-0399 · Fax (770) 995-0533
Fax(770) 995-0533
Sole ProprietorNo
Enumeration DateSeptember 21, 2005
Last NPPES UpdateApril 1, 20192 updates tracked since enumeration
NPI 1790771103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in GA · 32976
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
755 WALTHER RD, Lawrenceville, GA 30045

Secondary Practice Location 1

Location 1755 Walther RdLawrenceville, GA 30045 · Phone (770) 962-0399 · Fax (770) 995-0533

Other Identifiers 1

Medicaid00430328CGA

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Cardiovascular Disease)
755 WALTHER RD
LAWRENCEVILLE, GA 30045
Internal Medicine (Cardiovascular Disease)
755 WALTHER RD
LAWRENCEVILLE, GA 30045
Specialist
755 WALTHER RD
LAWRENCEVILLE, GA 30045
Internal Medicine (Cardiovascular Disease)
755 WALTHER RD
LAWRENCEVILLE, GA 30045
Physician Assistant (Medical)
755 WALTHER RD
LAWRENCEVILLE, GA 30045
Internal Medicine (Cardiovascular Disease)
755 WALTHER RD
LAWRENCEVILLE, GA 30045
Internal Medicine (Interventional Cardiology)
755 WALTHER RD
LAWRENCEVILLE, GA 30045

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is E Proctor's NPI number?

The NPI number for E Proctor is 1790771103. It was assigned to this individual provider in the NPPES registry on September 21, 2005.

Where is E Proctor located?

E Proctor practices at 755 Walther Rd, Lawrenceville, GA 30045. The listed phone number is (770) 962-0399.

What is E Proctor's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

When was this NPI record last updated?

The NPPES record for E Proctor was last updated on April 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.