Individual
EDWARD F EATON III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
164 NURSING HOME CIR, BLAIRSVILLE, GA 30512-3117
(706) 745-4948
Mailing address
525 KNIGHTS SQ, BLAIRSVILLE, GA 30512-8401
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4249
GA
Other
Enumeration date
06/03/2019
Last updated
06/03/2019
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