Kenneth Lee Edwards
Kenneth Lee Edwards is an Optician in Eastanollee, Georgia. Licensed in Georgia. Registered with an NPI since 2023.
- Licensed in
- GA
- In the registry since
- 2023
Practice location Address checks out
3886 Ga Hwy 17Eastanollee, GA 30538
Phone: (706) 297-7292
Fax: (706) 297-7317
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Optician (primary) | Taxonomy 156FX1800X · Licence 1847 (GA) |
|---|
Record details
| NPI number | 1720851769 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | November 1, 2023 |
| Last updated in NPPES | November 1, 2023 |
| Certification date | October 31, 2023 |
| Mailing address | 4073 Ledan Ext, Gainesville, GA 30506-2024 |