person
Blake Scott Edmonson, MD
Student in an Organized Health Care Education/Training Program in Memphis, Tennessee
NPI 1669115242

Blake Scott Edmonson is a Student in an Organized Health Care Education/Training Program based in Murfreesboro, TN. Blake Scott Edmonson practices in Memphis, TN and has the professional credentials of MD. The NPI Number for Blake Scott Edmonson is 1669115242 and holds a License No. (Tennessee).

The current practice location address for Blake Scott Edmonson is 920 Madison Avenue Suite 447, Memphis, TN and can be reached out via phone at 615-396-6454.

Location: 920 Madison Avenue Suite 447, Memphis, TN, 37130-2494
person
Provider Profile Details
NPI Number
1669115242
Provider Name
Blake Scott Edmonson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
920 Madison Avenue Suite 447, Memphis, TN, 37130-2494
Phone Number
615-396-6454
Fax Number
Provider Enumeration Date
04/20/2022
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
920 Madison Avenue Suite 447
City
State
Zip
38163-1702
Phone Number
615-396-6454
Fax Number
person
Provider Business Mailing Address Details
Address
920 Madison Avenue Suite 447
City
State
Zip
38163-1702
Phone Number
615-396-6454
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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