Individual
CORA EDGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
828 CENTRAL AVE, GREENVILLE, OH 45331-1206
(937) 569-6996
(937) 569-6079
Mailing address
835 SWEITZER ST, GREENVILLE, OH 45331-1007
(937) 548-1141
(937) 569-6297
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
10002361A
IN
363A00000X
Physician Assistant
Primary
50.004428RX
OH
Other
Enumeration date
09/10/2015
Last updated
01/12/2023
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