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William John Edmiston JR., MD
Interventional Pain Medicine Physician in Mooresville, North Carolina
NPI 1053420190

William John Edmiston JR. is a Interventional Pain Medicine Physician based in Mooresville, NC and is specialized in Interventional Pain Medicine. William John Edmiston JR. practices in Mooresville, NC and has the professional credentials of MD. The NPI Number for William John Edmiston JR. is 1053420190 and holds a License No. 200000410 (North Carolina).

The current practice location address for William John Edmiston JR. is 170 Medical Park Rd, Mooresville, NC and can be reached out via phone at 704-360-4378 and via fax at 704-696-8150.

Location: 170 Medical Park Rd, Mooresville, NC, 28117-8540
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053420190
Provider Name
William John Edmiston JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
170 Medical Park Rd, Mooresville, NC, 28117-8540
Phone Number
704-360-4378
Fax Number
704-696-8150
Provider Enumeration Date
08/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
891269N 05 NC
institution
Provider Business Practice Location Address Details
Address
170 Medical Park Rd
City
Mooresville
State
North Carolina
Zip
28117-8540
Phone Number
704-360-4378
Fax Number
704-696-8150
person
Provider Business Mailing Address Details
Address
170 Medical Park Rd
City
Mooresville
State
North Carolina
Zip
28117-8540
Phone Number
704-360-4378
Fax Number
704-696-8150
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pain Medicine
Speciality
Interventional Pain Medicine
Taxonomy
208VP0014X
License No.
200000410 (North Carolina)
Definition
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
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