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Individual

WALTER C EDWARDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
993 C JOHNSON FERRY RD, STE 100, ATLANTA, GA 30342
(404) 255-1180
(404) 250-0071
Mailing address
980 JOHNSON FERRY RD 740, ATLANTA, GA 30342-1629
(404) 355-5479
(404) 250-0071

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
013030
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00132888A
GA
Enumeration date
07/20/2006
Last updated
08/14/2015
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