Individual
RAYMOND EDOUARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
6130 PRESTLEY MILL RD STE C, DOUGLASVILLE, GA 30134-2288
(678) 838-3903
(678) 838-7454
Mailing address
6130 PRESTLEY MILL RD STE C, DOUGLASVILLE, GA 30134-2288
(678) 838-3903
(678) 838-7454
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN205315
GA
Other
Enumeration date
10/18/2016
Last updated
11/21/2024
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