Individual
DR. CEDRIC EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
590 HIGHWAY 6 E, BATESVILLE, MS 38606-3002
(662) 563-8703
Mailing address
2340 SUNSET DR STE C, GRENADA, MS 38901-2827
(662) 508-0098
(662) 735-6010
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
21739
MS
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
21739
MS
208M00000X
Hospitalist Physician
21739
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05683563
—
MS
Enumeration date
07/07/2011
Last updated
01/19/2021
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