Organization
P. EDWARDS CONRAD MD. P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PENELOPE EDWARDS-CONRAD M.D. (OWNER)
(229) 244-1192
Entity
Organization
Contact information
Practice address
2935 N ASHLEY ST STE D-116, VALDOSTA, GA 31602-1788
(229) 244-1192
Mailing address
3338 L COUNTRY CLUB RD PMB 112, VALDOSTA, GA 31605-7425
(229) 244-1192
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
GA45205
GA
Other
Enumeration date
02/24/2009
Last updated
05/08/2009
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