Individual provider · NPI-1

Guy Mitchell Edmondson, M.D.

Family Medicine · Milford, DE

NPI number1871577288
StatusActive
Last updated in NPPESFeb 20, 2019

Details

NPI
1871577288
Entity type
Individual (NPI-1)
Name
Guy Mitchell Edmondson
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Nov 30, 2005
Last updated
Feb 20, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineC10004097DEYes

Practice location

310 Mullet Run
Milford, DE 19963-5371

Phone 302-424-0600 · Fax 302-422-6214

Mailing address

640 S. State Street
Mail Code 3055
Dover, DE 19901-3530

Phone 302-480-1688 · Fax 302-480-9807

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