Organization
EDWARD T WILLS DO
Active
Other names
DR. EDWARD TERRELL WILLS D.O
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER FINLEY (PRACTICE MANANGER)
(706) 724-5451
Entity
Organization
Contact information
Practice address
1430 HARPER ST STE B, AUGUSTA, GA 30901-0619
(706) 724-5451
(706) 724-9562
Mailing address
1430 HARPER ST STE B, AUGUSTA, GA 30901-0619
(706) 724-5451
(706) 724-9562
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
79140
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003202605B
—
GA
05
—
GA2183
—
SC
Enumeration date
07/05/2018
Last updated
12/13/2019
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