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Individual

DAVID KENNETH EDWARDS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
201 CENTRAL AVE N, SUITE I, TIFTON, GA 31794-4374
(229) 386-0227
(229) 386-0360
Mailing address
201 CENTRAL AVE N, SUITE I, TIFTON, GA 31794-4374
(229) 386-0227
(229) 386-0360

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
002085
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00497923A
GA
Enumeration date
11/17/2006
Last updated
11/05/2012
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