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1598340069
COREY EDGEMON
ATHENS, TN
NPI
1598340069
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TN 7579)
Enumeration Date
2021-03-16
Last Update Date
2021-03-16
Business Address
COREY EDGEMON PTA
933 DECATUR PIKE
ATHENS, TN 37303-3037
Phone number: 423-405-0013
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Mailing Address
COREY EDGEMON PTA
123 COUNTY ROAD 101
RICEVILLE, TN 37370-5573
Phone number: 423-507-4441
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