Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Edwidge Azor-Antoine

Individual provider Pediatric Nurse Practitioner · NPI 1740061209

Edwidge Azor-Antoine is a Pediatric Nurse Practitioner in Villa Rica, Georgia. Licensed in Georgia. Registered with an NPI since 2023.

Licensed in
GA
In the registry since
2023

Practice location Address checks out

626 Dallas Hwy
Villa Rica, GA 30180-1209
Phone: (770) 459-9378
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 302190 (GA)

Record details

NPI number1740061209
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 11, 2023
Last updated in NPPESDecember 3, 2025
Certification dateDecember 3, 2025
Mailing address100 Greenway Blvd Ste C, Carrollton, GA 30117-4358

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