Individual
DR. JANE ELIZABETH EDMONDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
215 HAWTHORNE PARK, SUITE B, ATHENS, GA 30606-2164
(706) 549-1169
(706) 227-8971
Mailing address
215 HAWTHORNE PARK, SUITE B, ATHENS, GA 30606-2164
(706) 549-1169
(706) 227-8971
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2135
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10034720
AMERIGROUP
GA
Enumeration date
11/17/2006
Last updated
07/08/2007
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