| Doctor Name: | ALESHA MICHELLE EDWARDS |
| NPI Number: | 1023353497 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | D.P.M. |
| License Number: | POD001216 |
| Business Practice Address: | 116 Smith St Tennille, GA - 310891465 |
| Business Phone Number: | 4788643448 |
| Business Fax Number: | 4788641288 |
| Mailing Address: | 2251 W Elm St, P O Box 371 WRIGHTSVILLE |
| State: | GA |
| Postal Code: | 310962017 |
| Phone Number: | 4788643448 |
| Fax Number: | 4788641288 |
| NPI Enumeration Date: | 12/11/2012 |
| NPI Last Update Date: | 04/03/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | POD001216 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |