Most Relevant Information
Provider Data
| NPI Number: | 1003059403 |
| Provider Name: | RICHARD EARL EDWARDS M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 207Q00000X |
| Specialty: | Family Medicine |
| License Number: | MD.203926 |
Most Important Dates
| Enumeration Date: | 04/14/2009 |
| Last Updated: | 02/13/2024 |
Provider Practice Location
1322 ELTON RD
SUITE P
JENNINGS
LA
705464100
Practice Location Phone/Fax
| Phone: | 3378242282 |
| Fax: | 3378240058 |
Provider Mailing Location
1322 ELTON RD
SUITE P
JENNINGS
LA
705464100
Provider Mailing Phone/Fax
| Phone: | 3378242282 |
| Fax: | 3378240058 |
Suggested EMR
Family Practice EMR