Individual
HEATHER C EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC, MAOM
Contact information
Practice address
110 GLANCY ST, SUITE 102, GOODLETTSVILLE, TN 37072-2326
(818) 625-7096
Mailing address
4104 PRESTON RUN, GOODLETTSVILLE, TN 37072-1954
(818) 625-7096
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
179
TN
Other
Enumeration date
03/10/2011
Last updated
03/10/2011
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