Individual
MR. EDWARD MONROE COURTNEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
300 EAST HOSPITAL ROAD, D.D. EISENHOWER ARMY MEDICAL CENTER ROOM 12C-25, AUGUSTA FORT GORDON, GA 30905-5650
(706) 787-8441
(706) 787-1327
Mailing address
300 EAST HOSPITAL ROAD, D.D. EISENHOWER ARMY MEDICAL CENTER ROOM 12C-25, AUGUSTA FORT GORDON, GA 30905-5650
(706) 787-8441
(706) 787-1327
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
PT007866
GA
Other
Enumeration date
01/19/2012
Last updated
01/19/2012
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