Provider Demographics
NPI:1962678037
Name:EDWARDS, LEIGH BAILEY (MD)
Entity Type:Individual
Prefix:DR
First Name:LEIGH
Middle Name:BAILEY
Last Name:EDWARDS
Suffix:
Gender:F
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:1020 RIVER OAKS DR
Mailing Address - Street 2:SUITE 310
Mailing Address - City:JACKSON
Mailing Address - State:MS
Mailing Address - Zip Code:39232-9500
Mailing Address - Country:US
Mailing Address - Phone:601-932-5006
Mailing Address - Fax:601-932-4548
Practice Address - Street 1:1020 RIVER OAKS DRIVE
Practice Address - Street 2:SUITE 310
Practice Address - City:JACKSON
Practice Address - State:MS
Practice Address - Zip Code:39232
Practice Address - Country:US
Practice Address - Phone:601-932-5006
Practice Address - Fax:601-932-4548
Is Sole Proprietor?:No
Enumeration Date:2008-05-07
Last Update Date:2011-06-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MST-1982207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology