Individual
CHARLES EDMONDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
120 DISTRICT BLVD STE D102, JACKSON, MS 39211-6382
(769) 204-8222
(769) 235-2751
Mailing address
800 CRESCENT CENTRE DR STE 300, FRANKLIN, TN 37067-7285
(615) 373-1350
(615) 221-9054
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT5987
MS
Other
Enumeration date
10/12/2016
Last updated
10/04/2019
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