SearchGeorgia183500000X

Edwin Self, PHARMD

NPI 1306589643 · on the registry since 2022

Practice

Address
201 Walmart Dr
Eatonton, GA 31024
Phone
(706) 485-4546
Organisation at this address
Ellington Eyecare Pllc
Wal-Mart Stores East Lp
Middle Georgia Optometry
Wal-Mart Stores East, Lp
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-04-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia