Organization
B.O. EDWARDS, M.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BUFORD OTTO EDWARDS JR. M.D. (PRESIDENT/OWNER)
(706) 769-7911
Entity
Organization
Contact information
Practice address
1030 WOODLANDS RD, BOX 110, WATKINSVILLE, GA 30677-1990
(706) 769-7911
(706) 769-0826
Mailing address
1030 WOODLANDS RD, PO BOX 110, WATKINSVILLE, GA 30677-1990
(706) 769-7911
(706) 769-0826
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
028160
GA
Other
Enumeration date
07/13/2007
Last updated
07/13/2007
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