William John Edmiston JR. MD

NPI 1053420190 - Pain Medicine - 208VP0014X

NPI Details
NPI 1053420190
Gender Male
Enumeration Date 08/30/2006
Last Updated 06/18/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
170 MEDICAL PARK RD
SUITE 301
MOORESVILLE NC, 28117-8540, US
Phone (704) 360-4378
Fax (704) 696-8150
Business Location
170 MEDICAL PARK RD
SUITE 301
MOORESVILLE NC, 28117-8540, US
Phone (704) 360-4378
Fax (704) 696-8150
Toxanomy
Taxonomy Code 208VP0014X
License State North Carolina
License Number 200000410
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According to our database, William John Edmiston JR. MD NPI is 1053420190, taxonomy code is 208VP0014X and license number is 200000410, license state is located at North Carolina. William John Edmiston JR. MD physically located at 170 Medical Park Rd, Mooresville NC, 28117-8540. NPI Number William John Edmiston JR. MD has the Individual type.

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1053420190 NPI number is provided on an as is basis without warranty of any kind. 1053420190 is maintained by the National Plan & Provider Enumeration System. The contents of William John Edmiston JR. MD are for informational purposes only.