EDSEL L HOUSEWORTH

ATLANTA, GA
NPI1619996949
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: GA  003516)
Enumeration Date2006-07-18
Last Update Date2010-10-22
Business Address
Mr. EDSEL L HOUSEWORTH AA
1968 PEACHTREE ROAD NW
ATLANTA, GA 30309-1281
Phone number: 404-351-1745
Mailing Address
Mr. EDSEL L HOUSEWORTH AA
1301 CONCORD TERRACE
SUNRISE, FL 33323-2843
Phone number: 800-243-3839