Individual
DR. TOM N EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4614 CARNEGIE AVE, FAIRFIELD, AL 35064-1430
(205) 785-1353
(205) 785-3731
Mailing address
4614 CARNEGIE AVE, FAIRFIELD, AL 35064-1430
(205) 785-1353
(205) 785-3731
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9313
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009902185
—
AL
01
—
0112865
UNITED HEALTH CARE
AL
01
—
P00139033
RAILROAD MCARE
AL
Enumeration date
03/11/2006
Last updated
11/28/2011
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