Individual
CLINTON BROUGH EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 CARSON ST, JONESBORO, AR 72401-3104
(870) 932-1198
(970) 910-7709
Mailing address
300 CARSON ST, JONESBORO, AR 72401-3104
(870) 932-1198
(970) 910-7709
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
E4439
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
157205001
—
AR
Enumeration date
03/07/2006
Last updated
04/28/2008
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