Individual
VERNON EDMONDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5613 MAXON MARSH DR, HIRAM, GA 30141-2880
(770) 436-3314
(770) 436-3314
Mailing address
5613 MAXON MARSH DR, HIRAM, GA 30141-2880
(770) 436-3314
(770) 436-3314
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
033-R-0664
GA
376K00000X
Nurse's Aide
033-R-0664
GA
Other
Enumeration date
08/22/2011
Last updated
08/22/2011
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