Individual
EDWINA B. GARRETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
107 S.E. MAIN STREET, SUITE 410, ROCKY MOUNT, NC 27801
(252) 442-5771
(252) 442-5780
Mailing address
PO BOX 6348, ROCKY MOUNT, NC 27802-6348
(252) 442-5771
(252) 442-5780
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1566
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
144HW
BLUECROSS BLUESHIELD
NC
01
—
196488
MEDCOST
NC
05
—
6107398
—
NC
Enumeration date
12/29/2006
Last updated
07/09/2007
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