HENRY USIM EDETSON

BETHLEHEM, GA
NPI1477424521
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: GA  RN311473)
Enumeration Date2025-09-12
Last Update Date2025-09-12
Business Address
-- HENRY USIM EDETSON
2196 FOXY DR
BETHLEHEM, GA 30620-7664
Phone number: 404-751-8221
Mailing Address
-- HENRY USIM EDETSON
2196 FOXY DR
BETHLEHEM, GA 30620-7664
Phone number: 770-675-0545
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