Provider Demographics
NPI:1336211812
Name:EDWARDS, JAMES DEAN (HCM, BS)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:DEAN
Last Name:EDWARDS
Suffix:
Gender:M
Credentials:HCM, BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:COMDT CG-1122 US COAST GUARD
Mailing Address - Street 2:2100 ND ST SW, STE 5314
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20593-0001
Mailing Address - Country:US
Mailing Address - Phone:202-475-5182
Mailing Address - Fax:
Practice Address - Street 1:COMDT CG-1122 US COAST GUARD
Practice Address - Street 2:2100 ND ST SW, STE 5314
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20593-0001
Practice Address - Country:US
Practice Address - Phone:202-475-5182
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC247200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other