Individual
DR. DAVID S. EDMONDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3109 E 1ST ST, VIDALIA, GA 30474-8830
(912) 537-2436
(912) 537-2659
Mailing address
3109 E 1ST ST, VIDALIA, GA 30474-8830
(912) 537-2436
(912) 537-2659
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
5027/T1904
OH
152W00000X
Optometrist
975-OD
WV
152W00000X
Optometrist
Primary
OPT002008
GA
Other
Enumeration date
08/31/2006
Last updated
06/15/2015
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