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NPI Code Detail

MEDICARE: WILLIAM H EDWARDS JR. M.D.

MEDICARE: WILLIAM H EDWARDS JR. M.D.
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
1208600000XSurgery PhysicianTN17928TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1992703698
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM H EDWARDS JR. M.D.
Provider Business Mailing Address
First Line : 53 CENTURY BLVD
Second Line : SUITE 120
City : NASHVILLE
State : TN
Zip : 37214-3693
Country : US
Telephone Number : 615-346-6213
Fax Number : 615-346-6225
Provider Business Practice Location Address
First Line : 4230 HARDING RD
Second Line : SUITE 525
City : NASHVILLE
State : TN
Zip : 37205-2013
Country : US
Telephone Number : 615-385-1547
Fax Number : 615-297-9161
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2005
Last Update Date : 04/27/2016

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