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Individual

DR. NEIL EDGERTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1412 MILSTEAD AVE NE, CONYERS, GA 30012-3877
(770) 918-3905
Mailing address
1412 MILSTEAD AVE NE, CONYERS, GA 30012-3877
(770) 918-3905

Taxonomy

Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
64367
GA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
64367
GA

Other

Enumeration date
12/17/2007
Last updated
09/26/2016
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