Individual
EDWINE MELODY PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2511 PHEASANT DR, ALBANY, GA 31707-3024
(239) 240-1879
Mailing address
2511 PHEASANT DR, ALBANY, GA 31707-3024
(239) 240-1879
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN334448
GA
Other
Enumeration date
03/31/2025
Last updated
03/31/2025
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