Individual
DR. WILLIE STANLEY EDWARDS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 E CHEVES ST STE 480, FLORENCE, SC 29506-2653
(843) 432-1880
(843) 432-1022
Mailing address
PO BOX 3239, FLORENCE, SC 29502-3239
(843) 777-7092
(843) 777-7102
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
10996
SC
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
10996
SC
207XS0117X
Orthopaedic Surgery of the Spine Physician
26438
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109965
—
SC
05
—
8930169
—
NC
Enumeration date
07/29/2005
Last updated
04/03/2018
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