Individual
KENNETH LEE EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3886 GA HWY 17, EASTANOLLEE, GA 30538
(706) 297-7292
(706) 297-7317
Mailing address
4073 LEDAN EXT, GAINESVILLE, GA 30506-2024
(706) 297-7292
(706) 297-7317
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1847
GA
Other
Enumeration date
11/01/2023
Last updated
11/01/2023
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