Individual
DR. ANTONIO DESSELL EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
25073 HIGHWAY 1 S, PLAQUEMINE, LA 70764-4431
(225) 687-1772
(225) 687-1013
Mailing address
25073 HIGHWAY 1 S, PLAQUEMINE, LA 70764-4431
(225) 687-1772
(225) 687-1013
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12515R
LA
207Q00000X
Family Medicine Physician
84438
GA
207QA0401X
Addiction Medicine (Family Medicine) Physician
12515R
LA
207QA0401X
Addiction Medicine (Family Medicine) Physician
84438
GA
405300000X
Prevention Professional
12515R
LA
405300000X
Prevention Professional
84438
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1534358
—
LA
Enumeration date
01/22/2007
Last updated
05/12/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us