Edmonson, William R
Edmonson, William R is an individual health care provider with primary practice located at 860 South Madison 4Th Floor East Tower, Tupelo MS 38801-4934. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Edmonson, William R can be contacted via phone (662) 377-7150.Contact Information
Primary practice address
860 South Madison 4Th Floor East Tower
Tupelo MS 38801-4934
Phone: (662) 377-7150
Fax: (662) 377-7155
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 16508 | Mississippi |
Profile Details
| NPI number | 1528031077 |
|---|---|
| LBN Legal business name | Edmonson, William R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 7th, 2006 |
| Last updated | Mar 10th, 2011 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528031077 | NPPES |
| Mississippi | MEDICAID | 00209211 |
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