Individual
ANTHONY EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3050 LOST CABIN PL, DOUGLASVILLE, GA 30135-8648
(404) 281-8406
Mailing address
3050 LOST CABIN PL, DOUGLASVILLE, GA 30135-8648
(404) 281-8406
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
P6380361
GA
347C00000X
Private Vehicle
Primary
—
—
Other
Enumeration date
03/12/2025
Last updated
03/12/2025
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