Individual
MR. MICHAEL KEVIN EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSA
Contact information
Practice address
1882 MUSTANG TRL, SUFFOLK, VA 23432-1832
(757) 255-0623
Mailing address
1882 MUSTANG TRL, SUFFOLK, VA 23432-1832
(757) 255-0623
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
—
—
Other
Enumeration date
02/15/2010
Last updated
02/15/2010
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