MEDICARE: EMILY S EDWARDS DO

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
1	207Q00000X	Family Medicine Physician	0102202642	VA

General Provider Information

NPI Number	:	1366641011
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMILY S EDWARDS DO

Provider Business Mailing Address
First Line	:	2009 N AUGUSTA ST STE B
Second Line	:
City	:	STAUNTON
State	:	VA
Zip	:	24401-2436
Country	:	US
Telephone Number	:	540-569-2834
Fax Number	:	877-852-8642

Provider Business Practice Location Address
First Line	:	2009 N AUGUSTA ST STE B
Second Line	:
City	:	STAUNTON
State	:	VA
Zip	:	24401-2436
Country	:	US
Telephone Number	:	540-569-2834
Fax Number	:	877-852-8642

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/13/2007
Last Update Date	:	01/15/2026

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