Individual
WILLIAM A EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
108 MEDICAL CENTER BLVD, SUITE G 50, FAYETTEVILLE, TN 37334-2741
(931) 438-4111
(866) 521-2903
Mailing address
108 MEDICAL CENTER BLVD, # G50, FAYETTEVILLE, TN 37334-2741
(931) 438-4111
(866) 521-2903
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
33820
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0141814
UNITED HEALTH CARE
TN
05
—
3864942
—
TN
01
—
4015814
BC BS TN
TN
01
—
89009844
BC BS ALA
TN
Enumeration date
07/27/2006
Last updated
10/23/2018
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