Search › West Virginia › 207P00000X

Jerry Edwards, DO

NPI 1457321820 · on the registry since 2006

Practice

Address
3412 Staunton Ave Se
Charleston, WV 25304
Phone
(304) 388-6004
Fax
(304) 388-3360
Clinicians at this address
3

Additional practice sites

  • 5959 Park Avenue, Memphis, TN
  • 3200 Maccorkle Ave Se, Charleston, WV
  • 501 Morris St, Charleston, WV

Registry record

Primary taxonomy
207P00000X
207P00000X
Also registered as
207P00000X
Licence states on file
TN, WV
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-10-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in West Virginia