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1093375735
KELLY EDGE
TIFTON, GA
NPI
1093375735
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: GA PT009867)
Enumeration Date
2019-06-14
Last Update Date
2019-06-14
Business Address
Mrs. KELLY EDGE DPT, PT
1451 NEWTON DR
TIFTON, GA 31794-3752
Phone number: 229-382-1665
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Mailing Address
Mrs. KELLY EDGE DPT, PT
642 BELFLOWER RD
TIFTON, GA 31794-2020
Phone number:
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