Doctor Name: | JAMES BENNETT EDWARDS |
NPI Number: | 1720072317 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 041784 |
Business Practice Address: | 503 Eisenhower Dr Savannah, GA - 314062668 |
Business Phone Number: | 9123556255 |
Business Fax Number: | 9126445260 |
Mailing Address: | 210 E Derenne Ave, Attn: Provider Enrollment SAVANNAH |
State: | GA |
Postal Code: | 314056736 |
Phone Number: | 9126445300 |
Fax Number: | 9126445260 |
NPI Enumeration Date: | 09/09/2005 |
NPI Last Update Date: | 03/10/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085B0100X |
License Number: | 041784 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | GA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Body Imaging |
Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |