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Kenneth Edwards

NPI 1720851769 · on the registry since 2023

Practice

Address
3886 Ga Hwy 17
Eastanollee, GA 30538
Phone
(706) 297-7292
Fax
(706) 297-7317

Registry record

Primary taxonomy
156FX1800X
156FX1800X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-11-01

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