Individual
SHELLY MARIE EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7800 WILKINSON BLVD, CHARLOTTE, NC 28214-9148
(704) 930-3125
Mailing address
PO BOX 667812, CHARLOTTE, NC 28266-7812
(704) 930-3125
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
05/06/2020
Last updated
06/05/2020
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