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1124806534
NICHOLAS EDWARDS
LOGANVILLE, GA
NPI
1124806534
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: GA PT016876)
Enumeration Date
2023-09-18
Last Update Date
2023-09-18
Business Address
NICHOLAS EDWARDS PT, DPT
4743 ATLANTA HWY STE 100
LOGANVILLE, GA 30052-2686
Phone number: 770-466-9343
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Mailing Address
NICHOLAS EDWARDS PT, DPT
2400 WISTERIA DR STE A
SNELLVILLE, GA 30078-2689
Phone number: 770-982-0102
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