Organization
PEE DEE ORTHOPEDIC ASSOC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIE S. EDWARDS JR. M.D. (PRESIDENT)
(843) 662-5233
Entity
Organization
Contact information
Practice address
1580 FREEDOM BLVD, SUITE 100, FLORENCE, SC 29505-6040
(843) 662-5233
(843) 678-9003
Mailing address
1580 FREEDOM BLVD, SUITE 100, FLORENCE, SC 29505-6040
(843) 662-5233
(843) 678-9003
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP3840
—
SC
05
—
PA0043
—
SC
Enumeration date
01/11/2008
Last updated
06/21/2018
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