Individual
DR. JEFFREY MANCE EDMONDSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9501 FARRELL RD, FORT BELVOIR, VA 22060-5901
(703) 805-0968
Mailing address
12338 WASHINGTON BRICE RD, FAIRFAX, VA 22033-2428
(703) 620-0186
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D0046655
MD
Other
Enumeration date
10/26/2005
Last updated
07/08/2007
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