Organization
EDMONDS MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY L EDMONDS PA-C (PRESIDENT)
(225) 810-3430
Entity
Organization
Contact information
Practice address
3111 LONGLEAF CT, BATON ROUGE, LA 70810-0308
(225) 810-3430
Mailing address
5445 LA SIERRA DR, SUITE 410, DALLAS, TX 75231-4139
(214) 382-1909
(214) 382-1903
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
A10599
LA
Other
Enumeration date
02/09/2009
Last updated
02/09/2009
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