Provider Demographics
NPI:1467637470
Name:EDWARDS, JOI LYNN (DMD)
Entity type:Individual
Prefix:DR
First Name:JOI
Middle Name:LYNN
Last Name:EDWARDS
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2339 LAKE HARBIN RD
Mailing Address - Street 2:
Mailing Address - City:MORROW
Mailing Address - State:GA
Mailing Address - Zip Code:30260-1905
Mailing Address - Country:US
Mailing Address - Phone:770-961-1222
Mailing Address - Fax:770-961-6121
Practice Address - Street 1:2339 LAKE HARBIN RD
Practice Address - Street 2:
Practice Address - City:MORROW
Practice Address - State:GA
Practice Address - Zip Code:30260-1905
Practice Address - Country:US
Practice Address - Phone:770-961-1222
Practice Address - Fax:770-961-6121
Is Sole Proprietor?:No
Enumeration Date:2008-01-09
Last Update Date:2008-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN0122741223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice