Bonnie Edwards

NPI #1306679683 in Etowah, Tennessee

Provider Information

NPI Number: 1306679683
Entity Type: Individual
Name: Bonnie Edwards
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Driver
Enumeration Date: Aug 22, 2024
Last Updated: Aug 22, 2024

Practice Location

Address: 154 COUNTY ROAD 812
City: Etowah
State: Tennessee
ZIP Code: 37331-5244
Phone: (908) 319-9820

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Driver	172A00000X	Primary

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