Individual
GEORGE T EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
615 N BONITA AVE, PANAMA CITY, FL 32401-3623
(850) 769-1511
Mailing address
315 WINDY CITY RD, JACKSON, TN 38305-9643
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
9997
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202441
BETTER HEALTH PLAN OF TN
TN
05
—
3185490
—
TN
05
—
3832024
—
TN
01
—
4139147
BCBS
TN
01
—
4235689
AETNA
TN
01
—
6106933
CIGNA
TN
01
—
61680
BLUE CROSS OF TN
TN
Enumeration date
06/17/2005
Last updated
03/17/2018
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