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Individual

JOHN H EDMUNDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
322 MULBERRY STREET, SW, SUITE F, LENOIR, NC 28645-5703
(828) 757-6462
(828) 757-6490
Mailing address
321 MULBERRY ST SW, MEDICAL STAFF SERVICES, LENOIR, NC 28645-5720
(828) 757-5965
(828) 757-5104

Taxonomy

Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
9500065
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8930121
NC
Enumeration date
09/25/2006
Last updated
12/29/2016
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