| Doctor Name: | MR. KEVIN JERMAINE EDMONDS |
| NPI Number: | 1245209139 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 055205 |
| Business Practice Address: | 830 Eagles Landing Pkwy Ste 203 Stockbridge, GA - 302817366 |
| Business Phone Number: | 6787596847 |
| Business Fax Number: | 6787590562 |
| Mailing Address: | 135 Eagles Walk, Ste 200 STOCKBRIDGE |
| State: | GA |
| Postal Code: | 302817206 |
| Phone Number: | 7703898950 |
| Fax Number: | 7703893848 |
| NPI Enumeration Date: | 03/14/2006 |
| NPI Last Update Date: | 01/26/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207V00000X |
| License Number: | 055205 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |