TRACIE THERESA EDWARDS

CONYERS, GA
NPI1104486711
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: GA  RN288766)
Enumeration Date2019-06-17
Last Update Date2019-11-01
Business Address
Mrs. TRACIE THERESA EDWARDS NP
1412 MILSTEAD AVE NE
CONYERS, GA 30012-3877
Phone number: 770-918-3000
Mailing Address
Mrs. TRACIE THERESA EDWARDS NP
200 CORPORATE BLVD
LAFAYETTE, LA 70508-3870
Phone number: 800-893-9698
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