Individual
LAVON EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6559 W FAYETTEVILLE RD, RIVERDALE, GA 30296-2522
(254) 462-9406
Mailing address
6559 W FAYETTEVILLE RD, RIVERDALE, GA 30296-2522
(254) 462-9406
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
04/09/2024
Last updated
04/09/2024
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