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ALESHA MICHELLE EDWARDS D.P.M.

Foot & Ankle Surgery >> Podiatrist >> Podiatric Medicine & Surgery Service Providers

Registrant NPI Number: 1023353497

Individual Registrant:
 ALESHA MICHELLE EDWARDS D.P.M.
Gender: F
Not Sole Proprietor

Location and contact information for practice:
116 SMITH ST  TENNILLE, GA 31089-1465 US
Tel: 478-864-3448  Fax: 478-864-1288

Contact information for business:
2251 W ELM ST P O BOX 371 WRIGHTSVILLE, GA 31096-2017 US
Tel: 478-864-3448  Fax: 478-864-1288

Registration Information:
NPI: 1023353497
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y213ES0103XPodiatric Medicine & Surgery Service Providers
Podiatrist
Foot & Ankle Surgery
GAPOD001216

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
LICENSEPOD001216GA01




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