| James L Edwards Md Medical Services Inc | |
|
3725 Lone Tree Way Suite C Antioch CA 94509-6064 | |
| (925) 754-1205 | |
| Not Available |
| Full Name | James L Edwards Md Medical Services Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 3725 Lone Tree Way, Antioch, California |
| Authorized Official Name and Position | James Edwards (PRESIDENT) |
| Authorized Official Contact | 9257541205 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| James L Edwards Md Medical Services Inc 3725 Lone Tree Way Suite C Antioch CA 94509-6064 Ph: (925) 754-1205 | James L Edwards Md Medical Services Inc 3725 Lone Tree Way Suite C Antioch CA 94509-6064 Ph: (925) 754-1205 |
| NPI Number | 1922381755 |
|---|---|
| Provider Enumeration Date | 09/28/2011 |
| Last Update Date | 09/28/2011 |
| Medicare PECOS PAC ID | 0648442780 |
|---|---|
| Medicare Enrollment ID | O20111013000342 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922381755 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | A83531 (California) | Primary |
| Provider Name | James Lowell Edwards |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508885005 PECOS PAC ID: 4981601713 Enrollment ID: I20061108000474 |
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