| P. Edwards Conrad Md. P.c. | |
|
2935 N Ashley St Ste D-116 Valdosta GA 31602-1788 | |
| (229) 244-1192 | |
| Not Available |
| Full Name | P. Edwards Conrad Md. P.c. |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 2935 N Ashley St Ste D-116, Valdosta, Georgia |
| Authorized Official Name and Position | Penelope Edwards-conrad (OWNER) |
| Authorized Official Contact | 2292441192 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| P. Edwards Conrad Md. P.c. 3338 L Country Club Rd Pmb 112 Valdosta GA 31605-7425 Ph: (229) 244-1192 | P. Edwards Conrad Md. P.c. 2935 N Ashley St Ste D-116 Valdosta GA 31602-1788 Ph: (229) 244-1192 |
| NPI Number | 1376783811 |
|---|---|
| Provider Enumeration Date | 02/24/2009 |
| Last Update Date | 05/08/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376783811 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | GA45205 (Georgia) | Primary |
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