Individual
DR. EDWARD L TREADWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 MOYE BLVD, GREENVILLE, NC 27834-4300
(252) 744-3169
(252) 744-3725
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
20980
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
660001936
RAILROAD MEDICARE
NC
01
—
83704
BCBS NC
NC
05
—
8983704
—
NC
Enumeration date
11/22/2005
Last updated
05/03/2022
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