Individual
JONATHAN SCOTT EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13800 OLD GENTILLY RD, NEW ORLEANS, LA 70129-2218
(504) 556-8118
Mailing address
PO BOX 7133, BELLE CHASSE, LA 70037-7133
(504) 556-8118
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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