Individual
CAROL DENISE EDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
34 TAYLOR RD N, MONTGOMERY, AL 36117-6753
(334) 323-1510
Mailing address
1310 COUNTY ROAD 85, PRATTVILLE, AL 36067-6863
(334) 221-5500
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-084327
AL
Other
Enumeration date
01/30/2020
Last updated
01/30/2020
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