Individual
MR. LARRY JAMES EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2030 NEWTON RD, ALBANY, GA 31701-3520
(229) 430-2764
(229) 430-0410
Mailing address
2030 NEWTON RD, ALBANY, GA 31701-3520
(229) 430-2764
(229) 430-0410
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2723
GA
Other
Enumeration date
06/10/2016
Last updated
06/10/2016
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