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1770033987
CHARLES EDMONDSON
JACKSON, MS
NPI
1770033987
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MS PT5987)
Enumeration Date
2016-10-12
Last Update Date
2019-10-04
Business Address
CHARLES EDMONDSON DPT
120 DISTRICT BLVD STE D102
JACKSON, MS 39211-6382
Phone number: 769-204-8222
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Mailing Address
CHARLES EDMONDSON DPT
800 CRESCENT CENTRE DR STE 300
FRANKLIN, TN 37067-7285
Phone number: 615-373-1350
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