Individual
JORDAN EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(912) 435-6965
Mailing address
2003 KOOTENAI HEALTH WAY, COEUR D ALENE, ID 83814-6051
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD60522010
WA
207RS0010X
Sports Medicine (Internal Medicine) Physician
MD60522010
WA
208M00000X
Hospitalist Physician
Primary
1571552
ID
208M00000X
Hospitalist Physician
MD60522010
NV
Other
Enumeration date
05/03/2011
Last updated
08/07/2025
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