Individual
JUDSON EIDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1221 MERLIN AVE SE, ATLANTA, GA 30317-1621
(404) 312-9120
Mailing address
1221 MERLIN AVE SE, ATLANTA, GA 30317-1621
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN184262
GA
Other
Enumeration date
02/11/2015
Last updated
02/11/2015
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