Provider Demographics
NPI:1053284976
Name:FIRSTHAND MEDICAL OF GEORGIA PC
Entity type:Organization
Organization Name:FIRSTHAND MEDICAL OF GEORGIA PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:A
Authorized Official - Last Name:EMDUR
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:720-684-9159
Mailing Address - Street 1:1032 E BRANDON BLVD STE 4567
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:FL
Mailing Address - Zip Code:33511-5509
Mailing Address - Country:US
Mailing Address - Phone:201-474-5844
Mailing Address - Fax:855-737-3901
Practice Address - Street 1:8384 BAYMEADOWS RD STE 4
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32256-7486
Practice Address - Country:US
Practice Address - Phone:201-474-5844
Practice Address - Fax:855-737-3901
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-26
Last Update Date:2025-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty