Individual
DR. GARY FORREST EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC, DABCO
Contact information
Practice address
5209 PRINCETON WAY, SUITE 601, HOOVER, AL 35226-4182
(205) 989-4114
(205) 989-7149
Mailing address
PO BOX 968, ALABASTER, AL 35007-2053
(205) 989-4114
(205) 989-7149
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
1131
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
510-01421
BCBS
AL
Enumeration date
08/09/2006
Last updated
01/13/2011
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