Edmonson, James D.

Edmonson, James D. is an sole proprietor health care provider with primary practice located at 2429 Proper St , Corinth MS 38834-5394. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Edmonson, James D. can be contacted via phone (662) 286-3735.

Contact Information

Primary practice address
2429 Proper St Corinth MS 38834-5394
Phone: (662) 286-3735
Fax: (662) 286-3721
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 13579 Mississippi

Profile Details

NPI number 1689617664
LBN Legal business name Edmonson, James D.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 14th, 2006
Last updated Aug 25th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689617664 NPPES
Tennessee Other 26282 VESTICA
Tennessee Other 12658 VESTICA
Tennessee Other 157866 VESTICA
Tennessee Other 3104220 VESTICA
Tennessee MEDICAID 3729733 VESTICA
Tennessee MEDICAID 0114762 VESTICA

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