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Individual

MR. WILLIAM TRAVIS EDWARDS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2122 CIRCLE DR, COLUMBIA, TN 38401-4430
(931) 490-1480
Mailing address
305 MALIBU CANYON DR, COLUMBIA, TN 38401-6802
(810) 513-6248

Taxonomy

Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary

Other

Enumeration date
06/15/2009
Last updated
06/15/2009
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