Individual
MR. JOHN DOUGLAS EDWARDS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.P.A., RT(R)
Contact information
Practice address
20 GLENLAKE PKWY NE, ATLANTA, GA 30328-3473
(770) 677-5857
Mailing address
4936 CHALDEN LN NE, MARIETTA, GA 30066-1417
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
302476
GA
Other
Enumeration date
07/16/2008
Last updated
07/16/2008
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