Provider Demographics
NPI:1245338516
Name:ROBERT W EDWARDS III MD INC
Entity type:Organization
Organization Name:ROBERT W EDWARDS III MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:EDWARDS
Authorized Official - Suffix:III
Authorized Official - Credentials:MD
Authorized Official - Phone:304-327-1890
Mailing Address - Street 1:488 CHERRY ST STE 2
Mailing Address - Street 2:
Mailing Address - City:BLUEFIELD
Mailing Address - State:WV
Mailing Address - Zip Code:24701-3304
Mailing Address - Country:US
Mailing Address - Phone:304-327-1890
Mailing Address - Fax:304-325-1908
Practice Address - Street 1:218 UNDERCLIFF TER
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:WV
Practice Address - Zip Code:24740-2176
Practice Address - Country:US
Practice Address - Phone:304-327-1890
Practice Address - Fax:304-325-1908
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV19543207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty