Individual
CHRISTOPHER R EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1224 TROTWOOD AVE, COLUMBIA, TN 38401-4802
(931) 381-1111
Mailing address
PO BOX 601153, CHARLOTTE, NC 28260-1153
(843) 237-3378
(843) 237-5073
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
054775
GA
207R00000X
Internal Medicine Physician
Primary
47247
TN
207R00000X
Internal Medicine Physician
TL29424
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
294247
—
SC
05
—
3710089
—
TN
05
—
438906781A
—
GA
01
—
89821409859
BCBS
GA
01
—
P00171267
RAILROAD MEDICARE
GA
Enumeration date
01/30/2006
Last updated
10/25/2018
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