Individual
DR. DONALD WILLIAM EDGERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 W TYLER AVE, WEST MEMPHIS, AR 72301-4223
(870) 735-1500
Mailing address
3385 RAST RD, MILLINGTON, TN 38053-8833
(901) 876-3294
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
24665
MS
207Q00000X
Family Medicine Physician
Primary
E-3211
AR
207Q00000X
Family Medicine Physician
MD0000025923
TN
Other
Enumeration date
12/30/2005
Last updated
02/28/2017
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