Individual
RACHEL OGLESBY EDENFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
450 GEORGIA AVE STE A, STATESBORO, GA 30458-5590
(912) 489-3325
Mailing address
450 GEORGIA AVE STE A, STATESBORO, GA 30458-5590
(912) 489-3325
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN227704
GA
Other
Enumeration date
11/06/2017
Last updated
03/10/2021
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