STEVELAND EDWARDS, Adult Medicine JACKSON, MS

Contact Information

STEVELAND EDWARDS

381 REED AVE
JACKSON, MS 39206-3656

Phone: 601-961-9460
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Adult Medicine	207QA0505X	08	Physician/Family Practice

Indicates primary specialty

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NPI Profile & details for STEVELAND EDWARDS · (Male)

NPI #	`1902685191`
Status	Active
Credentials
Entity	Individual
Enumeration date	09/26/2023
Last updated	09/26/2023 - About 3 years ago
Sole proprietor ¹	Yes
Identifiers	MS License # 207QA0505X
Hospital affiliation(s)	Not Available

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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