Individual
TAQUISHA DAWN EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
703 E. 9TH STREET NORTH, BLDG 4970, ROOM 124, FORT STEWART, GA 31314
(912) 320-9125
(912) 435-6133
Mailing address
703 E. 9TH STREET NORTH, BLDG 4970, ROOM 124, FORT STEWART, GA 31314
(912) 320-9125
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
114257
LA
163WC0400X
Case Management Registered Nurse
Primary
695726
TX
Other
Enumeration date
02/09/2015
Last updated
02/09/2015
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