Individual
MR. BILLY TYLER EDWARDS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1605 AVENUE OF CHAMPIONS, BOWLING GREEN, KY 42101-6412
(270) 745-6026
(270) 745-5333
Mailing address
1451 CROSS WINDS AVE, BOWLING GREEN, KY 42104-4715
(270) 843-1063
(270) 745-5333
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT016
KY
Other
Enumeration date
07/03/2006
Last updated
07/08/2007
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