Individual
WILLIAM RICHARD EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1409 CHATTANOOGA AVE, DALTON, GA 30720-2631
(706) 278-5373
(706) 278-5085
Mailing address
1409 CHATTANOOGA AVE, DALTON, GA 30720-2631
(706) 278-5373
(706) 278-5085
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
047079
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00821136A
—
GA
Enumeration date
10/04/2006
Last updated
03/03/2010
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