Edwards, William A

Edwards, William A is an sole proprietor health care provider with primary practice located at 108 Medical Center Blvd Suite G 50, Fayetteville TN 37334-2741. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Edwards, William A can be contacted via phone (931) 438-4111.

Contact Information

Primary practice address
108 Medical Center Blvd Suite G 50 Fayetteville TN 37334-2741
Phone: (931) 438-4111
Fax: (866) 521-2903
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 33820 Tennessee

Profile Details

NPI number 1326052408
LBN Legal business name Edwards, William A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 27th, 2006
Last updated Oct 23rd, 2018 - about 8 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 1326052408 NPPES
Tennessee MEDICAID 3864942
Tennessee Other 0141814
Tennessee Other 89009844
Tennessee Other 4015814

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