Individual
DAVID LEE EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPTA
Contact information
Practice address
711 AVIGNON DR, RIDGELAND, MS 39157
(601) 605-6777
(601) 605-8869
Mailing address
1435 WILEY RD, CALEDONIA, MS 39740-8572
(662) 356-6810
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA2374
MS
Other
Enumeration date
01/29/2007
Last updated
08/28/2018
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