Individual
MR. DERRICK EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
900 DOWNTOWNER BLVD APT 413, MOBILE, AL 36609-9415
(251) 259-2718
Mailing address
900 DOWNTOWNER BLVD APT 413, MOBILE, AL 36609-9415
(251) 259-2718
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
UNKNOWN
—
AL
Enumeration date
02/28/2022
Last updated
02/28/2022
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