Individual
MR. EDWARD WILLIAM HALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A. - C
Contact information
Practice address
501 S SHARON AMITY RD STE 300, CHARLOTTE, NC 28211-0035
(704) 377-2424
(704) 377-2687
Mailing address
501 S SHARON AMITY RD STE 300, CHARLOTTE, NC 28211-0035
(704) 377-2424
(704) 377-2687
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
102618
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
970007619
RR MEDICARE
NC
Enumeration date
05/18/2006
Last updated
12/19/2023
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