Individual
KIMMI EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
445 YOUNG JAMES CIR, STOCKBRIDGE, GA 30281-1475
(404) 513-8581
Mailing address
445 YOUNG JAMES CIR, STOCKBRIDGE, GA 30281-1475
(404) 513-8581
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
16590
NC
Other
Enumeration date
08/29/2016
Last updated
01/16/2019
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