Organization
HEALTH EDGE LASER LLC
Active
Other names
Health Edge Medical and Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAROLYN LEIGH HUNTER DC (OWNER)
(843) 870-8703
Entity
Organization
Contact information
Practice address
4965 CENTRE POINTE DR. SUITE 100, NORTH CHARLESTON, SC 29418
(843) 569-2225
(843) 863-1830
Mailing address
4965 CENTRE POINTE DR. SUITE 100, NORTH CHARLESTON, SC 29418
(843) 569-2225
(843) 863-1830
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
2991
SC
111N00000X
Chiropractor
—
SC
207Q00000X
Family Medicine Physician
Primary
25789
SC
207Q00000X
Family Medicine Physician
—
SC
208100000X
Physical Medicine & Rehabilitation Physician
—
—
225100000X
Physical Therapist
5337
SC
225100000X
Physical Therapist
—
SC
363LF0000X
Family Nurse Practitioner
18243
SC
363LF0000X
Family Nurse Practitioner
3749
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D992
PTAN MEDICARE
SC
05
—
GP6680
—
SC
Enumeration date
06/13/2016
Last updated
03/08/2017
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