Provider Demographics
NPI:1801837679
Name:DALY, EDWARD F (MD)
Entity Type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:F
Last Name:DALY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:11 BLUFF HILLS PL
Mailing Address - Street 2:
Mailing Address - City:NATCHEZ
Mailing Address - State:MS
Mailing Address - Zip Code:39120-9591
Mailing Address - Country:US
Mailing Address - Phone:601-442-9966
Mailing Address - Fax:
Practice Address - Street 1:46 SERGEANT PRENTISS DR
Practice Address - Street 2:SUITE 300
Practice Address - City:NATCHEZ
Practice Address - State:MS
Practice Address - Zip Code:39120-4725
Practice Address - Country:US
Practice Address - Phone:601-446-7343
Practice Address - Fax:601-445-0833
Is Sole Proprietor?:No
Enumeration Date:2006-06-10
Last Update Date:2010-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS13519207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS00116472Medicaid
MS00116472Medicaid
MSF58540Medicare UPIN