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Individual

ANDREW R EDWARDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1806 SIXTH AVENUE SOUTH, BIRMINGHAM, AL 35249-0001
(205) 975-7389
(205) 975-4662
Mailing address
PO BOX 11407 DRAWER 624, BIRMINGHAM, AL 35246-0001

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
25300
AL
207P00000X
Emergency Medicine Physician
Primary
MD.25300
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
051517253
AL
01
1578545802
TRICARE SOUTH
AL
01
515-17253
BCBS
AL
Enumeration date
11/14/2005
Last updated
06/29/2023
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