Individual
DR. HUNTER EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
302 RAILROAD ST, WATER VALLEY, MS 38965-3032
(662) 473-2181
Mailing address
107 WESTBURY CIR, OXFORD, MS 38655-6046
(662) 614-2221
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1035P-Y
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1T5717
MEDICARE
MS
Enumeration date
05/23/2021
Last updated
11/08/2021
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