Provider Demographics
NPI:1174861801
Name:GEDWARD, RONDA F (EDD)
Entity Type:Individual
Prefix:DR
First Name:RONDA
Middle Name:F
Last Name:GEDWARD
Suffix:
Gender:F
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1096 REDAN TRAIL CT
Mailing Address - Street 2:
Mailing Address - City:STONE MOUNTAIN
Mailing Address - State:GA
Mailing Address - Zip Code:30088-2543
Mailing Address - Country:US
Mailing Address - Phone:404-210-5680
Mailing Address - Fax:678-476-9682
Practice Address - Street 1:1096 REDAN TRAIL CT
Practice Address - Street 2:
Practice Address - City:STONE MOUNTAIN
Practice Address - State:GA
Practice Address - Zip Code:30088-2543
Practice Address - Country:US
Practice Address - Phone:404-210-5680
Practice Address - Fax:678-476-9682
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-31
Last Update Date:2013-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator