Individual
DR. JUSTIN REID EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 HEART DR, GREENVILLE, NC 27834-8982
(252) 744-4611
(252) 744-3201
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2008-01847
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15253
BCBSNC
NC
05
—
5911775
—
NC
Enumeration date
07/13/2007
Last updated
02/09/2024
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