Individual
DR. BUFORD OTTO EDWARDS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
760 26TH AVE SE, MOULTRIE, GA 31768-6799
(229) 985-1457
(229) 890-9430
Mailing address
2410 HOG MOUNTAIN RD, ST 307, WATKINSVILLE, GA 30677-4811
(706) 769-7911
(706) 769-0826
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
028160
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000411507A
—
GA
Enumeration date
04/08/2006
Last updated
01/25/2023
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