Edmondson, Charles

Edmondson, Charles is an individual health care provider with primary practice located at 120 District Blvd Ste D102 , Jackson MS 39211-6382. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Edmondson, Charles can be contacted via phone (769) 204-8222.

Contact Information

Primary practice address
120 District Blvd Ste D102 Jackson MS 39211-6382
Phone: (769) 204-8222
Fax: (769) 235-2751
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT5987 Mississippi

Profile Details

NPI number 1770033987
LBN Legal business name Edmondson, Charles
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2016
Last updated Oct 4th, 2019 - about 7 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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