Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
WILLIAM JOHN EDMISTON JR., MD
ActiveWILLIAM JOHN EDMISTON JR., MD is a Interventional Vascular Surgery healthcare provider located in MOORESVILLE, North Carolina. NPI 1053420190 is currently active in the NPPES registry. Verify at CMS.
Interventional Vascular Surgery · MOORESVILLE, NC
Registration Details
- NPI Number
- 1053420190
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 30, 2006 (19.966514284305 yrs)
- Last Updated
- Mar 7, 2023
- License
-
200000410 (NC)
Practice Information
- Address
-
170 MEDICAL PARK RDSUITE 301MOORESVILLE, NC, 281178540Browse NC providers · Browse ZIP 28117
- Phone
- 7043604378
- Fax
- 7046968150
- Primary Specialty
-
Interventional Vascular Surgery
208VP0014X
Other Interventional Vascular Surgery Providers in MOORESVILLE, NC
| Name | Credential | NPI |
|---|---|---|
| MARK C HINES | MD | 1790773000 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.