Jonathan Scott Edwards

NPI #1366553158 in New Orleans, Louisiana

Provider Information

NPI Number: 1366553158
Entity Type: Individual
Name: Jonathan Scott Edwards
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: Aug 31, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 13800 OLD GENTILLY RD
City: New Orleans
State: Louisiana
ZIP Code: 70129-2218
Phone: (504) 556-8118

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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