Individual
JAMES TRAVERS EDWARDS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12 BRUTON AVE, NEWPORT NEWS, VA 23601-1602
(757) 594-4111
(757) 594-4115
Mailing address
856 J CLYDE MORRIS BLVD, SUITE A, NEWPORT NEWS, VA 23601-1318
(757) 594-4006
(757) 594-2195
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
0101027348
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1720081250
—
VA
Enumeration date
05/30/2005
Last updated
05/10/2011
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