Individual provider · Type 1 NPI

Justin R. Edmondson

Medical Physician Assistant · Mobile, AL

NPI number 1609107846 Active

Practice location

2350 Schillinger Rd S, Suite A
Mobile, AL 36695-4177

Call (251) 633-0123 Map

Fax (251) 633-0123

Mailing address

PO Box 7627
Mobile, AL 36670-0627

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA.671 (AL)

Medical Physician Assistant: Definition to come...

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About NPI 1609107846

Justin R. Edmondson's National Provider Identifier is 1609107846, issued on Jan 28, 2010. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Mobile, AL. The record was last updated on Jan 28, 2010.