Edwards, Devin Shane

Edwards, Devin Shane is an sole proprietor health care provider with primary practice located at 1437 W Morris Blvd , Morristown TN 37813-2828. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Edwards, Devin Shane can be contacted via phone (423) 587-8041.

Contact Information

Primary practice address
1437 W Morris Blvd Morristown TN 37813-2828
Phone: (423) 587-8041
Fax: (423) 587-8035
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 0116016609 Virginia
Allopathic & Osteopathic Physicians / Surgery 208600000X MD45382 Tennessee

Profile Details

NPI number 1578753521
LBN Legal business name Edwards, Devin Shane
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 26th, 2007
Last updated Jun 29th, 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 1578753521 NPPES
Tennessee MEDICAID 1515417

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