Individual
DR. JACOB DANIEL EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1924 ALCOA HWY, KNOXVILLE, TN 37920-1511
(865) 670-6754
Mailing address
2100 STANTONSBURG RD, GREENVILLE, NC 27834-2818
(252) 744-2393
(252) 744-3156
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
66216
TN
2086S0102X
Surgical Critical Care Physician
66216
TN
Other
Enumeration date
05/22/2015
Last updated
09/14/2022
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