Consuela Bertina Edwards LAPC

NPI 1538441274 - Counselor - 101YP2500X

NPI Details
NPI 1538441274
Gender Female
Enumeration Date 09/19/2011
Last Updated 09/19/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
6601 ZEBULON RD
MACON GA, 31220-7606, US
Phone (478) 477-3383
Fax (478) 475-9492
Business Location
170 NORTHRIDGE DR
MACON GA, 31220-6643, US
Phone (478) 737-7770
Fax
Toxanomy
Taxonomy Code 101YP2500X
License State Georgia
License Number APC001766
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According to our database, Consuela Bertina Edwards LAPC NPI is 1538441274, taxonomy code is 101YP2500X and license number is APC001766, license state is located at Georgia. Consuela Bertina Edwards LAPC physically located at 6601 Zebulon Rd, Macon GA, 31220-7606. NPI Number Consuela Bertina Edwards LAPC has the Individual type.

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1538441274 NPI number is provided on an as is basis without warranty of any kind. 1538441274 is maintained by the National Plan & Provider Enumeration System. The contents of Consuela Bertina Edwards LAPC are for informational purposes only.