Individual
JOHN R EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
520 SOUTH VAN BUREN ROAD, SUITE 1, EDEN, NC 27288-5019
(336) 627-7500
(336) 627-7384
Mailing address
P.O. BOX 488, EDEN, NC 27289-0488
(336) 623-9711
(336) 627-0778
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
0101-029533
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010242151
—
VA
05
—
6408826
—
VA
Enumeration date
02/17/2006
Last updated
07/12/2012
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