Individual
MRS. JAN PARISOT EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN,BSN,OCN
Contact information
Practice address
300 W HOSPITAL RD # MACF, FORT GORDON, GA 30905-5741
(706) 787-2541
Mailing address
300 W HOSPITAL RD # MACF, FORT GORDON, GA 30905-5741
(706) 787-2541
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
108713
GA
Other
Enumeration date
04/18/2008
Last updated
04/18/2008
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