Edlene Buie

NPI #1184109118 in Valdosta, Georgia

Provider Information

NPI Number: 1184109118
Entity Type: Individual
Name: Edlene Buie
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Contractor
Enumeration Date: Sep 25, 2018
Last Updated: Sep 25, 2018

Practice Location

Address: 2009 FALLINGLEAF LN
City: Valdosta
State: Georgia
ZIP Code: 31602-1500
Phone: (229) 300-2334

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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