Individual
DR. BRYAN TODD EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
19485 OLD JETTON RD, SUITE 210, CORNELIUS, NC 28031-6582
(704) 316-1830
(704) 316-1835
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 316-1830
(704) 316-1835
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
2006-00386
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5907841
—
NC
Enumeration date
09/22/2005
Last updated
06/23/2023
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