Individual
TED EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2700 TRIANA BLVD, HUNTSVILLE, AL 35805
(256) 885-9708
(256) 883-1840
Mailing address
2700 TRIANA BLVD, HUNTSVILLE, AL 35805
(256) 885-9708
(256) 883-1840
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
DO-778
AL
208VP0014X
Interventional Pain Medicine Physician
Primary
DO-778
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009913555
—
AL
Enumeration date
01/19/2006
Last updated
08/08/2018
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