Individual
MS. CASSANDRA IOTHA EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
49 JESSE HILL JR DR SE, ATLANTA, GA 30303-3049
(404) 616-4620
(404) 616-8022
Mailing address
601 FLOWERS CREEK DR # 49, MCDONOUGH, GA 30253-3984
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
004549
NY
363AM0700X
Medical Physician Assistant
Primary
005346
GA
Other
Enumeration date
12/04/2006
Last updated
01/21/2009
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