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Individual

MS. EDITH A SCHULTZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CEO

Contact information

Practice address
204 MEADOW RUN, PEACHTREE CITY, GA 30269-3412
(470) 214-7751
(770) 486-8425
Mailing address
204 MEADOW RUN, 204 MEADOW RUN, PEACHTREE CITY, GA 30269-3412
(678) 826-9204
(770) 486-8245

Taxonomy

Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
302R00000X
GA
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
332B00000X
GA

Other

Enumeration date
04/23/2012
Last updated
04/23/2012
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