| Wb Edwards Md Llc | |
|
1607 Lisenby Ave Suite D Panama City FL 32405-3796 | |
| (850) 250-3360 | |
| (850) 640-3798 |
| Full Name | Wb Edwards Md Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1607 Lisenby Ave, Panama City, Florida |
| Authorized Official Name and Position | Wilson Barton Edwards (OWNER) |
| Authorized Official Contact | 8502503360 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wb Edwards Md Llc 1607 Lisenby Ave Suite D Panama City FL 32405-3796 Ph: (850) 250-3360 | Wb Edwards Md Llc 1607 Lisenby Ave Suite D Panama City FL 32405-3796 Ph: (850) 250-3360 |
| NPI Number | 1497291124 |
|---|---|
| Provider Enumeration Date | 01/19/2017 |
| Last Update Date | 03/15/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497291124 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084F0202X | Psychiatry & Neurology - Forensic Psychiatry | ME65288 (Florida) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | ME65288 (Florida) | Primary |
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