Individual
EDWIDGE AZOR-ANTOINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
626 DALLAS HWY, VILLA RICA, GA 30180-1209
(770) 459-9378
Mailing address
100 GREENWAY BLVD STE C, CARROLLTON, GA 30117-4358
(770) 812-8825
(770) 812-5910
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
302190
GA
Other
Enumeration date
10/11/2023
Last updated
12/03/2025
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