Individual
DR. BRENT S EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3614 J DEWEY GRAY CIR STE A, AUGUSTA, GA 30909-6512
(706) 922-9222
(706) 922-5766
Mailing address
3614 J DEWEY GRAY CIR STE A, AUGUSTA, GA 30909-6512
(706) 922-9222
(706) 922-5766
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
039781
GA
Other
Enumeration date
12/13/2005
Last updated
07/20/2011
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