Individual
DONALD AUSBON EDMONDSON
Active
Individual
DONALD AUSBON EDMONDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
33643
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050011530
RAILROAD-MEDICARE
NC
01
—
132EF
BCBS NC
NC
01
—
21791
PARTNERS
NC
01
—
57295
MEDCOST
NC
01
—
6506395
CIGNA
NC
05
—
89132EF
—
NC
Enumeration date
08/31/2006
Last updated
12/12/2020
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