Organization
EDGEWATER MEDICAL CENTER AND URGENT
Active
Organization
EDGEWATER MEDICAL CENTER AND URGENT
Active
Parent organization
EDGEWATER MEDICAL CENTER AND URGENT
Other names
Edgewater Medical Center and Urgent Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
EDGEWATER MEDICAL CENTER AND URGENT
Authorized official
DR. RODOLFO C REYES M.D. (OWNER/MANAGER)
(910) 893-4111
Entity
Organization
Contact information
Practice address
100 S 10TH STREET, LILLINGTON, NC 27546-6690
(910) 893-4111
(910) 893-9850
Mailing address
100 S 10TH STREET, LILLINGTON, NC 27546-6690
(910) 893-4111
(910) 893-9850
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
213E00000X
Podiatrist
—
—
Other
Enumeration date
07/03/2006
Last updated
11/09/2023
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