Provider Demographics
NPI:1043587330
Name:EDWARDS, FRANCINE
Entity Type:Individual
Prefix:
First Name:FRANCINE
Middle Name:
Last Name:EDWARDS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3665 AUSTELL ROAD SW
Mailing Address - Street 2:SUITE 1017
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30008-0000
Mailing Address - Country:US
Mailing Address - Phone:770-319-8000
Mailing Address - Fax:770-319-8730
Practice Address - Street 1:3665 AUSTELL ROAD SW
Practice Address - Street 2:SUITE 1017
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30008-0000
Practice Address - Country:US
Practice Address - Phone:770-319-8000
Practice Address - Fax:770-319-8730
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-30
Last Update Date:2011-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GASLP000658235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist