ISAIAH SCOTT EDMONDS

VIDALIA, GA
NPI1013795343
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy156FX1800X Technician/Technologist, Optician
(Licence: GA  LDO002780)
Enumeration Date2023-09-18
Last Update Date2023-09-18
Business Address
ISAIAH SCOTT EDMONDS LDO
3109 E 1ST ST
VIDALIA, GA 30474-8830
Phone number: 912-537-2436
Mailing Address
ISAIAH SCOTT EDMONDS LDO
3109 E 1ST ST
VIDALIA, GA 30474-8830
Phone number: 912-537-2436