| NPI | 1023760949 |
|---|---|
| Doing Business As | TINA FORTHUN EDWARDS MD INC |
| Entity Type | Organization |
| Authorized Contact | TINA F EDWARDS President 619-227-8774 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208D00000X General Practice |
| Enumeration Date | 2022-01-21 |
| Last Update Date | 2022-01-21 |