Individual
JASON R. EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3719 DAUPHIN STREET, MOBILE, AL 36608
(251) 344-9630
(954) 851-1746
Mailing address
1613 N. HARRISON PARKWAY SUITE 200, MAILSTOP SH-9A, SUNRISE, FL 33323-2896
(800) 437-2672
(954) 851-1746
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD.32569
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/16/2009
Last updated
07/10/2013
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