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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

EDMOND COLLIN NELSON JR., MD

Active Sole Proprietor

EDMOND COLLIN NELSON JR., MD is a Hospitalist healthcare provider located in SULLIVAN, Missouri. NPI 1912285446 is currently active in the NPPES registry. Verify at CMS.

Hospitalist · SULLIVAN, MO

Registration Details

NPI Number
1912285446
Provider Type
Individual
Gender
Male
NPI Issued
Aug 2, 2011 (14.886894048831 yrs)
Last Updated
Jun 17, 2024
Licenses
23146 (MS)
MD.32419 (AL)
WV-SE-1846 (WV)
65734 (AZ)
321099 (LA)
Sole Proprietor
Yes

Practice Information

Address
751 SAPPINGTON BRIDGE RD
SULLIVAN, MO, 630802354
Browse MO providers · Browse ZIP 63080
Phone
5734684186
Fax
5738606179
Primary Specialty
Hospitalist
208M00000X
Additional Specialty
Internal Medicine
Additional Specialty
Internal Medicine
Additional Specialty
Internal Medicine
Additional Specialty
Internal Medicine

Other Hospitalist Providers in SULLIVAN, MO

Name Credential NPI
DAVID J WADDELL MD 1144239500
ASIM AYAZ M.D. 1144509563
DR. REBEKAH ALLEN DO 1710263033
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.