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Edmeston Woodley, ATC, LAT

NPI 1518168236 · on the registry since 2007 · sole proprietor

Practice

Address
118 College Dr # 5017
Hattiesburg, MS 39406
Phone
(601) 266-6666
Clinicians at this address
9

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Licence states on file
MS
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

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 Mississippi