Individual
MRS. PATRICIA ELIZABETH EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4640 MARTIN RD, CUMMING, GA 30041-5533
(678) 679-1261
(678) 679-1265
Mailing address
6245 NIX RD, DAWSONVILLE, GA 30534-4711
(770) 889-1737
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP000856
GA
Other
Enumeration date
10/30/2009
Last updated
10/30/2009
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