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Individual

CHARLES EDGE III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
4770 BUFORD HIGHWAY, ATLANTA, GA 30341
(770) 488-3339
Mailing address
4770 BUFORD HWY, ATLANTA, GA 30341-3717

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN243477
GA

Other

Enumeration date
08/02/2017
Last updated
08/02/2017
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