Edwards, Clinton Brough
Edwards, Clinton Brough is an individual health care provider with primary practice located at 300 Carson St , Jonesboro AR 72401-3104. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Edwards, Clinton Brough can be contacted via phone (870) 932-1198.Contact Information
Primary practice address
300 Carson St
Jonesboro AR 72401-3104
Phone: (870) 932-1198
Fax: (970) 910-7709
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | E4439 | Arkansas |
Profile Details
| NPI number | 1386611598 |
|---|---|
| LBN Legal business name | Edwards, Clinton Brough |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 7th, 2006 |
| Last updated | Apr 28th, 2008 - about 17 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 | 1386611598 | NPPES |
| Arkansas | MEDICAID | 157205001 |
Popular Providers
-
Woodruff, Adam
4802 E. Johnson Ave , Jonesboro AR 72401 -
Nass, Khaled
663 Lanier Park Dr , Gainesville GA 30501-2059 -
Maxwell, James
300 Carson St , Jonesboro AR 72401-3104 -
Kornetsky, Kenneth M
406 Hospital Dr , Warrenton VA 20186-3026 -
Murphy, Michael N
410 Fleischmann Way Suite B, Carson City NV 89703-3973 -
Nooruddin, Karim N
5826 Esplanade Dr Ste 204 , Corpus Christi TX 78414-4198 -
Lee, Sungchun
21410 N 19Th Ave Suite 131, Phoenix AZ 85027-2738 -
Palubiak, David J
2020 Riverside Dr Suite 200, Green Bay WI 54301-2300