Individual
DR. WILLIAM CARLTON EDWARDS SR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3417 HIGHWAY 5, DOUGLASVILLE, GA 30135-2378
(770) 949-2020
Mailing address
3629 KIMBROUGH PT, DOUGLASVILLE, GA 30135-1937
(770) 942-7675
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1099-T
GA
Other
Enumeration date
07/28/2005
Last updated
07/08/2007
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