Individual
KATRINA LAVETTE EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
154 BROOKVIEW DR, NEWNAN, GA 30265-5715
(256) 225-4371
Mailing address
154 BROOKVIEW DR, NEWNAN, GA 30265-5715
(256) 225-4371
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1-171946
AL
Other
Enumeration date
08/12/2022
Last updated
08/12/2022
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