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Jerry L Edwards, DO
Emergency Medicine Physician in Charleston, West Virginia
NPI 1457321820

Jerry L Edwards is a Emergency Medicine Physician based in Charleston, WV. Jerry L Edwards practices in Charleston, WV and has the professional credentials of DO. The NPI Number for Jerry L Edwards is 1457321820 and holds a License No. DO1265 (West Virginia).

The current practice location address for Jerry L Edwards is 3412 Staunton Ave Se, Charleston, WV and can be reached out via phone at 304-388-6004 and via fax at 304-388-3360.

Location: 3412 Staunton Ave Se, Charleston, WV, 25304-1327
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457321820
Provider Name
Jerry L Edwards
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
3412 Staunton Ave Se, Charleston, WV, 25304-1327
Phone Number
304-388-6004
Fax Number
304-388-3360
Provider Enumeration Date
01/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3305715 05 TN
4078407 01 BCBS PROVIDER
930077458 01 RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
3412 Staunton Ave Se
City
Charleston
State
West Virginia
Zip
25304-1327
Phone Number
304-388-6004
Fax Number
304-388-3360
person
Provider Business Mailing Address Details
Address
3412 Staunton Ave Se
City
Charleston
State
West Virginia
Zip
25304-1327
Phone Number
304-388-6004
Fax Number
304-388-3360
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
-
Taxonomy
207P00000X
License No.
DO1265 (Tennessee)
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
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