Individual
MR. DONALD L. EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
300 W HOSPITAL RD, EISENHOWER ARMY MEDICAL CENTER, ATTN CREDENTIALS, FORT GORDON, GA 30905-5741
(706) 787-2720
(706) 787-8176
Mailing address
300 W HOSPITAL RD, EISENHOWER ARMY MEDICAL CENTER, ATTN CREDENTIALS, FORT GORDON, GA 30905-5741
(706) 787-2720
(706) 787-8176
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
001858
GA
Other
Enumeration date
12/15/2006
Last updated
07/08/2007
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