# DR. SCOTT MICHAEL EDWARDS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1235168220
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | 17275 | SC | — |
| 207L00000X | Anesthesiology Physician | MD17275 | SC | Yes |
| 207LP3000X | Pediatric Anesthesiology Physician | MD17275 | SC | — |

## Other

- **Enumeration date:** 07/02/2006
- **Last updated:** 02/16/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 172352 | — | SC |
| 05 | — | 172752 | — | SC |