# TRICORNE PRIMARY NERVE & JOINT

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Tricorne Primary Nerve & Joint
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215246764
- **Authorized official:** DR. EARL WILBERT EDWARDS MD (PRESIDENT)
- **Authorized official phone:** (717) 747-3220

## Contact information

- **Practice address:** 2200 S GEORGE ST, SUITE W2, YORK, PA 17403-4594
- **Practice address phone:** (717) 747-3220
- **Practice address fax:** (717) 747-3338
- **Mailing address:** 2200 S GEORGE ST, SUITE W2, YORK, PA 17403-4594
- **Mailing address phone:** (717) 747-3220
- **Mailing address fax:** (717) 747-3338

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | MD427825 | PA | Yes |

## Other

- **Enumeration date:** 10/01/2010
- **Last updated:** 04/24/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1215246764 | NPI | PA |