Individual
DR. JEREMY JOHN EDGMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
819 N 1ST ST, DENNISON, OH 44621-1003
(740) 922-2800
Mailing address
819 N 1ST ST, DENNISON, OH 44621-1003
(740) 922-2800
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
35.138002
OH
207Q00000X
Family Medicine Physician
20876
WV
207Q00000X
Family Medicine Physician
Primary
35.138002
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2396661
—
OH
Enumeration date
08/20/2006
Last updated
06/05/2025
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