Organization
EDWARDS FAMILY MEDICINE A PROFESSIONAL MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD EARL EDWARDS III M.D. (OWNER)
(337) 824-2282
Entity
Organization
Contact information
Practice address
1322 ELTON RD STE P, JENNINGS, LA 70546-4100
(337) 824-2282
(337) 824-0058
Mailing address
1322 ELTON RD STE P, JENNINGS, LA 70546-4100
(337) 824-2282
(337) 824-0058
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2609921
—
LA
Enumeration date
05/14/2012
Last updated
03/28/2024
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