ANTONIO DESSELL EDWARDS

PLAQUEMINE, LA
NPI1568515419
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: LA  12515R)
Additional Taxonomies207QA0401X Family Medicine Addiction Medicine
(Licence: GA  84438)
405300000X Prevention Professional
(Licence: LA  12515R)
405300000X Prevention Professional
(Licence: GA  84438)
207Q00000X Family Medicine
(Licence: GA  84438)
207QA0401X Family Medicine Addiction Medicine
(Licence: LA  12515R)
Enumeration Date2007-01-22
Last Update Date2020-05-12
Business Address
DR. ANTONIO DESSELL EDWARDS M.D.
25073 HIGHWAY 1 S
PLAQUEMINE, LA 70764-4431
Phone number: 225-687-1772
Mailing Address
DR. ANTONIO DESSELL EDWARDS M.D.
25073 HIGHWAY 1 S
PLAQUEMINE, LA 70764-4431
Phone number: 225-687-1772