Provider Demographics
NPI:1043315922
Name:EDMUNDS, HAYWARD SAVAGE JR (MD)
Entity type:Individual
Prefix:DR
First Name:HAYWARD
Middle Name:SAVAGE
Last Name:EDMUNDS
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:924 MONTCLAIR RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35213-1211
Mailing Address - Country:US
Mailing Address - Phone:205-591-7999
Mailing Address - Fax:205-591-5051
Practice Address - Street 1:924 MONTCLAIR RD
Practice Address - Street 2:SUITE 200
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35213-1211
Practice Address - Country:US
Practice Address - Phone:205-591-7999
Practice Address - Fax:205-591-5051
Is Sole Proprietor?:No
Enumeration Date:2006-09-14
Last Update Date:2024-07-16
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Provider Licenses
StateLicense IDTaxonomies
AL29437207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL1043315922Medicaid
AL1043315922Medicaid