person
Isaiah Scott Edmonds, LDO
Optician in Vidalia, Georgia
NPI 1013795343

Isaiah Scott Edmonds is a Optician based in Vidalia, GA and is specialized in Optician. Isaiah Scott Edmonds practices in Vidalia, GA and has the professional credentials of LDO. The NPI Number for Isaiah Scott Edmonds is 1013795343 and holds a License No. LDO002780 (Georgia).

The current practice location address for Isaiah Scott Edmonds is 3109 E 1St St, Vidalia, GA and can be reached out via phone at 912-537-2436 and via fax at 912-537-2659.

Location: 3109 E 1St St, Vidalia, GA, 30474-8830
person
Provider Profile Details
NPI Number
1013795343
Provider Name
Isaiah Scott Edmonds
Credential
LDO
Provider Entity Type
Individual
Gender
Male
Address
3109 E 1St St, Vidalia, GA, 30474-8830
Phone Number
912-537-2436
Fax Number
912-537-2659
Provider Enumeration Date
09/18/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3109 E 1St St
City
State
Zip
30474-8830
Phone Number
912-537-2436
Fax Number
912-537-2659
person
Provider Business Mailing Address Details
Address
3109 E 1St St
City
State
Zip
30474-8830
Phone Number
912-537-2436
Fax Number
912-537-2659
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
LDO002780 (Georgia)
Definition
Definition to come...
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