Individual
CARRIE LYNN EDWARDS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
11 UPPER RIVERDALE RD SW, RIVERDALE, GA 30274-2615
(770) 994-9326
(770) 994-4747
Mailing address
1745 PHOENIX BLVD, SUITE 100, ATLANTA, GA 30349-5591
(770) 994-9326
(770) 994-4747
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
054774
GA
Other
Enumeration date
05/10/2006
Last updated
07/08/2007
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