Individual
SAUNDRA DECOMA HARRIS-EDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RESPIRATORY THERAPIS
Contact information
Practice address
5400 ADRIAN HWY, CONWAY, SC 29526-5813
(843) 269-4303
Mailing address
5400 ADRIAN HWY, CONWAY, SC 29526-5813
Taxonomy
Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
Primary
—
—
2278E0002X
Emergency Care Certified Respiratory Therapist
—
—
Other
Enumeration date
07/10/2019
Last updated
07/10/2019
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