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Individual

DR. ADAM EDENFIELD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT, DPT

Contact information

Practice address
1050 MCDONOUGH RD, JACKSON, GA 30233-1524
(770) 775-7865
Mailing address
1050 MCDONOUGH RD, JACKSON, GA 30233-1524
(770) 775-7861

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT014161
GA

Other

Enumeration date
08/08/2019
Last updated
08/08/2019
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