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George Edwards, HIS

NPI 1528728136 · on the registry since 2021

Practice

Address
4121 S Water Tower Pl
Mount Vernon, IL 62864
Phone
(618) 619-2934
Fax
(618) 619-2934
Organisation at this address
Marco Pharmacy And Optical Inc
Inferred from a shared address, not stated in the registry.

Additional practice sites

  • 1707 E Main St Ste 6, Olney, IL
  • 1011 Commerce Dr, Fairfield, IL

Registry record

Primary taxonomy
237700000X
237700000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-12-22

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 Illinois