Individual
EDWIN W NUNNERY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1700 MEDICAL WAY, SNELLVILLE, GA 30078-2195
(770) 736-2408
Mailing address
2800 KEAGY ROAD, SALEM, VA 24153-7458
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
023649
GA
Other
Enumeration date
06/16/2005
Last updated
08/25/2009
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