Individual
DR. CHARLES RANDALL EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1303 GREENSBORO STREET EXT, LEXINGTON, NC 27295-1924
(336) 249-0237
(336) 243-7685
Mailing address
202 FAIRVIEW RD, THOMASVILLE, NC 27360-3822
(336) 472-7509
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0879
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6000633
—
NC
Enumeration date
02/22/2007
Last updated
07/26/2007
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