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Organization
JONATHAN D. EDWARDS, M.D.
Active
Organization
JONATHAN D. EDWARDS, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN EDWARDS M.D. (OWNER)
(903) 675-5742
Entity
Organization
Contact information
Practice address
115 MEDICAL CIR, SUITE 100B, ATHENS, TX 75751-9124
(903) 675-5742
(903) 675-5677
Mailing address
115 MEDICAL CIR, SUITE 100B, ATHENS, TX 75751-9124
(903) 675-5742
(903) 675-5677
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/28/2007
Last updated
02/18/2010
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