Individual
COREY EDGEMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
933 DECATUR PIKE, ATHENS, TN 37303-3037
(423) 405-0013
Mailing address
123 COUNTY ROAD 101, RICEVILLE, TN 37370-5573
(423) 507-4441
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
7579
TN
Other
Enumeration date
03/16/2021
Last updated
03/16/2021
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