Individual
JEREMY RICHARD EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
3208 CRANE FERRY RD, AUGUSTA, GA 30907-3771
(678) 855-3100
Mailing address
3208 CRANE FERRY RD, AUGUSTA, GA 30907-3771
(678) 855-3100
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN015006
GA
Other
Enumeration date
09/01/2015
Last updated
09/01/2015
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