Individual
DEMETRIA EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3939 CENTRAL PIKE, HERMITAGE, TN 37076-3499
(615) 883-2331
(615) 391-1785
Mailing address
3939 CENTRAL PIKE, HERMITAGE, TN 37076
(615) 883-2331
(615) 391-1785
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1888
TN
Other
Enumeration date
10/07/2010
Last updated
12/09/2010
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