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Individual

MS. EDWINA MILLER SMALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1670 CLAIRMONT RD, DECATUR, GA 30033-4004
(404) 321-6111
Mailing address
230 FITZGERALD PL, ATLANTA, GA 30349-1078
(404) 321-6111

Taxonomy

Speciality
Code
Description
License number
State
163WN0300X
Nephrology Registered Nurse
Primary
RN 2737332
FL

Other

Enumeration date
07/07/2006
Last updated
07/08/2007
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