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NPI Code Detail

MEDICARE: NORMAN R EDWARDS MD LTD

MEDICARE: NORMAN R EDWARDS MD LTD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207VG0400XGynecology PhysicianVA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1005388OTHERVAANTHEM BCBS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
34211797OTHERAETNA
42122353OTHERCIGNA

General Provider Information

NPI Number : 1174663967
Entity Type Code : Organization
Provider Name (Legal Business Name) : NORMAN R EDWARDS MD LTD
Provider Business Mailing Address
First Line : PO BOX 6694
Second Line :
City : NEWPORT NEWS
State : VA
Zip : 23606-0694
Country : US
Telephone Number : 757-874-0712
Fax Number : 757-874-0691
Provider Business Practice Location Address
First Line : 610 THIMBLE SHOALS BLVD
Second Line : #404
City : NEWPORT NEWS
State : VA
Zip : 23606-2526
Country : US
Telephone Number : 757-873-0712
Fax Number : 757-873-0691
Authorized Official
Title or Position : PRESIDENT
Name : NORMAN ROSS EDWARDS
Credential : MD
Telephone Number : 757-873-0712
Provider Enumeration Date : 02/08/2007
Last Update Date : 08/22/2020

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