Individual
SHATIA EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
156 CLINIC AVE, CARROLLTON, GA 30117-4414
(770) 214-2229
(770) 214-9691
Mailing address
156 CLINIC AVE, CARROLLTON, GA 30117-4414
(770) 214-2229
(770) 214-9691
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
02008521A
IN
207V00000X
Obstetrics & Gynecology Physician
Primary
82970
GA
Other
Enumeration date
06/25/2014
Last updated
08/05/2025
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