Individual
MRS. CHARMAINE E EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
325 SPRING STREET, RED BUD, IL 62278
(618) 282-3831
(618) 282-5476
Mailing address
325 SPRING STREET, RED BUD, IL 62278
(618) 282-3831
(618) 282-5476
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
036106745
IL
207RG0100X
Gastroenterology Physician
Primary
113266
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203825146
—
MO
Enumeration date
11/21/2005
Last updated
06/28/2021
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