Individual
EDWARD ALLEN HAIRSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2737 WARM SPRINGS RD, COLUMBUS, GA 31904-6859
(706) 653-2255
(706) 653-2329
Mailing address
4519 WOODRUFF RD, SUITE 4 PMB 349, COLUMBUS, GA 31904-6011
(706) 653-2255
(706) 653-2329
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/31/2007
Last updated
05/01/2013
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