| Edwards Internal Medicine Pllc | |
|
2195 West St Germantown TN 38138-3830 | |
| (901) 755-5556 | |
| Not Available |
| Full Name | Edwards Internal Medicine Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2195 West St, Germantown, Tennessee |
| Authorized Official Name and Position | Mark Steven Edwards (PHYSICIAN) |
| Authorized Official Contact | 9013181946 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Edwards Internal Medicine Pllc 2195 West St Germantown TN 38138-3830 Ph: (901) 318-1946 | Edwards Internal Medicine Pllc 2195 West St Germantown TN 38138-3830 Ph: (901) 755-5556 |
| NPI Number | 1497015168 |
|---|---|
| Provider Enumeration Date | 05/29/2012 |
| Last Update Date | 08/12/2020 |
| Medicare PECOS PAC ID | 0941466262 |
|---|---|
| Medicare Enrollment ID | O20120731000533 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497015168 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | MD14066 (Tennessee) | Primary |
| Provider Name | Mark S. Edwards |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184647166 PECOS PAC ID: 2860422821 Enrollment ID: I20110128001001 |
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