JEREMY D EDGERLY — Medicare Enrolled Provider (PRACTITIONER - OPTOMETRY, AL)
JEREMY D EDGERLY — Medicare Enrolled Provider (PRACTITIONER - OPTOMETRY, AL) is one of 9,000 enrolled providers in the MedicareEnroll dataset. Key details — Name: JEREMY D EDGERLY; Type: Individual; NPI: 1003177296.
| Name | JEREMY D EDGERLY |
|---|---|
| Type | Individual |
| NPI | 1003177296 |
| Provider type | PRACTITIONER - OPTOMETRY |
| State | AL |
| Enrollment ID | I20130924000569 |
| Multiple NPI flag | N |
| Source | CMS Medicare FFS Public Provider Enrollment (PECOS) |
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