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Organization

B.O. EDWARDS, M.D., LLC

Active
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Organization

B.O. EDWARDS, M.D., LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BUFORD OTTO EDWARDS JR. M.D. (PRESIDENT/OWNER)
(706) 769-7911
Entity
Organization

Contact information

Practice address
1030 WOODLANDS RD, BOX 110, WATKINSVILLE, GA 30677-1990
(706) 769-7911
(706) 769-0826
Mailing address
1030 WOODLANDS RD, PO BOX 110, WATKINSVILLE, GA 30677-1990
(706) 769-7911
(706) 769-0826

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
028160
GA

Other

Enumeration date
07/13/2007
Last updated
07/13/2007
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