Dr. Richard Earl Edwards III
Family Doctor
1322 Elton Rd Suite P
Jennings
, Louisiana 70546-4100
Dr. Richard Earl Edwards III
Family Doctor
1322 Elton Rd Suite P
Jennings
, Louisiana 70546-4100
(337) 824-0058
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About
Features
Specialties
- Family Doctor
Languages spoken
- English
Location
First Address
- Dr. Richard Earl Edwards III
- 1322 Elton Rd Suite P
- Jennings, LA
- Zip : 70546-4100
- Fax : (337) 824-0058
- Phone : (337) 824-2282
Second Address
- Dr. Richard Earl Edwards III
- 1322 Elton Rd Suite P
- Jennings, LA
- Zip : 70546-4100
- Fax : (337) 824-0058
- Phone : (337) 824-2282
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | MD.203926 | LA |
National Provider Identifier
| NPI | 1003059403 |
|---|---|
| Provider Name | Dr. Richard Earl Edwards III |
| First Address | Jennings, LA 70546-4100 |
| Second Address | Jennings, LA 70546-4100 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/04/2009 |
| Last Update Date | 12/09/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1988529 | (05) | LA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.