Individual
ALESHA MICHELLE EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.M.
Contact information
Practice address
116 SMITH ST, TENNILLE, GA 31089-1465
(478) 864-3448
(478) 864-1288
Mailing address
2251 W ELM ST, P O BOX 371, WRIGHTSVILLE, GA 31096-2017
(478) 864-3448
(478) 864-1288
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
POD001216
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
POD001216
LICENSE
GA
Enumeration date
12/11/2012
Last updated
04/03/2015
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