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Individual

JOBY R. EDMONDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
742 MIDDLE CREEK RD, SEVIERVILLE, TN 37862-5019
(865) 446-7823
Mailing address
410 N CEDAR BLUFF RD, STE 300, KNOXVILLE, TN 37923-3632
(919) 684-3595

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
18260
TN
367500000X
Certified Registered Nurse Anesthetist
193262
NC

Other

Enumeration date
08/22/2008
Last updated
01/24/2020
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