Individual
MRS. DEANNA EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN095757
Contact information
Practice address
159 SPRING ST, FAIRMOUNT, GA 30139-3248
(706) 676-1480
Mailing address
159 SPRING ST, FAIRMOUNT, GA 30139-3248
(706) 676-1480
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN095757
GA
Other
Enumeration date
02/08/2024
Last updated
02/08/2024
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