Individual
DR. THOMAS A EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2005 KNIGHT LANE BLDG H ATTN; MEDICAL STAFF SERVICES, NAVY MEDICINE SUPPORT COMMAND, JACKSONVILLE, FL 32212-0140
(619) 532-6684
Mailing address
8356 MARY DEAN LANE, LAKESIDE, CA 92040
(931) 801-4941
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
05285
KY
Other
Enumeration date
07/19/2011
Last updated
06/29/2022
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