MEDICARE: FRANCINE EDWARDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	SLP000658	GA

General Provider Information

NPI Number	:	1043587330
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FRANCINE EDWARDS

Provider Business Mailing Address
First Line	:	3665 AUSTELL ROAD SW
Second Line	:	SUITE 1017
City	:	MARIETTA
State	:	GA
Zip	:	30008-0000
Country	:	US
Telephone Number	:	770-319-8000
Fax Number	:	770-319-8730

Provider Business Practice Location Address
First Line	:	3665 AUSTELL ROAD SW
Second Line	:	SUITE 1017
City	:	MARIETTA
State	:	GA
Zip	:	30008-0000
Country	:	US
Telephone Number	:	770-319-8000
Fax Number	:	770-319-8730

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/30/2011
Last Update Date	:	11/30/2011

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Directions to “ FRANCINE EDWARDS ” Practice Location

Language	Start Address	Practice Location

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