Doctor Name: | DANIELLE EDWARDS |
NPI Number: | 1467894386 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.M.T., P.T. |
License Number: | MT005406 |
Business Practice Address: | 2399 Parkland Dr Ne Suite 1112 Atlanta, GA - 303243557 |
Business Phone Number: | 6785524500 |
Business Fax Number: | |
Mailing Address: | 3353 Peachtree Rd Ne, Suite T-01 ATLANTA |
State: | GA |
Postal Code: | 303261063 |
Phone Number: | 6785524500 |
Fax Number: | |
NPI Enumeration Date: | 07/19/2013 |
NPI Last Update Date: | 07/19/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 246Z00000X |
License Number: | MT005406 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Specialist/Technologist, Other |
Taxonomy Specialization: | |
Taxonomy Definition: | General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. |