Edwards, Timothy Freeman

Edwards, Timothy Freeman is an individual health care provider with primary practice located at 245 Memorial Dr , Jacksonville NC 28546-6333. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is his primary health care specialty. Edwards, Timothy Freeman can be contacted via phone (910) 353-4333.

Contact Information

Primary practice address
245 Memorial Dr Jacksonville NC 28546-6333
Phone: (910) 353-4333
Fax: (910) 353-6529
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 23697 North Carolina
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 23697 North Carolina

Profile Details

NPI number 1962408591
LBN Legal business name Edwards, Timothy Freeman
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2005
Last updated Apr 12th, 2022 - about 2 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 1962408591 NPPES
North Carolina Other 30219 BCBS
North Carolina MEDICAID 8930219 BCBS

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