Individual
EDNEY EXCELLENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2900 UNIVERSITY PKWY, LAWRENCEVILLE, GA 30043-4588
(404) 482-9023
Mailing address
619 RIVER GARDENS DR, ATLANTA, GA 30354-4401
(404) 482-9023
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN279356
GA
Other
Enumeration date
11/10/2021
Last updated
06/13/2024
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