Individual
MRS. DOROTHY MARIE EDMONDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2364 FRANKLIN ST, AUGUSTA, GA 30906-3035
(706) 796-2874
(706) 796-2874
Mailing address
2364 FRANKLIN ST, AUGUSTA, GA 30906-3035
(706) 796-2874
(706) 796-2874
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/17/2007
Last updated
07/20/2007
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