Individual
MICHAEL EARNEST EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
499 GLOSTER CREEK VLG, SUITE G1, TUPELO, MS 38801-4600
(662) 841-7880
(662) 821-1899
Mailing address
499 GLOSTER CREEK VLG, SUITE G1, TUPELO, MS 38801-4600
(662) 841-7880
(662) 821-1899
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
00012287
AL
2085R0202X
Diagnostic Radiology Physician
Primary
18382
MS
2085R0202X
Diagnostic Radiology Physician
MD0000019591
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00123835
—
MS
Enumeration date
07/24/2006
Last updated
07/08/2007
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