Individual
JAMA GAIL EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1555 W OAK ST STE 100-2, ZIONSVILLE, IN 46077-1896
(317) 873-8065
Mailing address
PO BOX 645, ZIONSVILLE, IN 46077-0645
(317) 873-8065
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01036111
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100063650A
—
IN
Enumeration date
10/17/2005
Last updated
04/28/2018
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