Individual provider · Type 1 NPI

Heidi Marie Edmondson, AT STUDENT

Student in an Organized Health Care Education/Training Program · Cumming, GA

NPI number 1508564659 Active

Practice location

5110 Hyde Rd
Cumming, GA 30040-4951

Call (678) 620-5069 Map

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1508564659

Heidi Marie Edmondson, AT STUDENT's National Provider Identifier is 1508564659, issued on Feb 17, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Cumming, GA. The record was last updated on Feb 17, 2023.