Individual
EDWINA C HAIRSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
970 S HAIRSTON RD, STONE MOUNTAIN, GA 30088-2339
(404) 299-7460
(404) 292-7831
Mailing address
970 S HAIRSTON RD, STONE MOUNTAIN, GA 30088-2339
(404) 299-7460
(404) 292-7831
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN103156
GA
Other
Enumeration date
01/06/2026
Last updated
01/06/2026
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