Individual
DONALD Q EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LDO
Contact information
Practice address
629 N EXPRESSWAY STE D, GRIFFIN, GA 30223-2083
(770) 227-1331
(478) 746-9865
Mailing address
3131 PIO NONO AVE, MACON, GA 31206-3027
(478) 781-2159
(478) 746-9865
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
LDO000683
GA
Other
Enumeration date
01/30/2007
Last updated
07/08/2007
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