Individual
DR. JAMES D. EDMONSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2429 PROPER ST, CORINTH, MS 38834-5394
(662) 286-3735
(662) 286-3721
Mailing address
2429 PROPER ST, CORINTH, MS 38834-5394
(662) 286-3735
(662) 286-3721
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
13579
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0114762
—
MS
01
—
12658
TLC
TN
01
—
157866
UNISON
TN
01
—
26282
VESTICA
TN
01
—
3104220
BCBS
TN
05
—
3729733
—
TN
Enumeration date
06/14/2006
Last updated
08/25/2020
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