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Individual

DR. JAMES BRYANT EDWARDS III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1306 N FRASER ST, GEORGETOWN, SC 29440-2800
(843) 546-3132
(843) 546-2268
Mailing address
1306 N FRASER ST, GEORGETOWN, SC 29440-2800
(843) 546-3132
(843) 546-2268

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
5875
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
058751
SC
01
1346244951
NPI
SC
01
201203904
TAX ID
SC
Enumeration date
06/10/2005
Last updated
01/29/2010
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