-- WILLIAM JOHN EDMISTON Jr. MD
Individual Provider (NPI-1)
Active
Pain Medicine, Interventional Pain Medicine
Provider Information
- NPI Number
1053420190- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 170 MEDICAL PARK RD SUITE 301, MOORESVILLE, NC, 281178540
- Phone
- (704) 360-4378
- Fax
- (704) 696-8150
Specialties & Taxonomies
Pain Medicine, Interventional Pain Medicine
Primary License: NC #200000410