Individual
DR. MATTHEW SCOTT EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1488 MEMORIAL DR E, AHOSKIE, NC 27910-3926
(252) 332-5618
Mailing address
1488 MEMORIAL DR E, AHOSKIE, NC 27910-3926
(252) 332-5618
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2326
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NCH403A
MEDICARE PTAN
—
Enumeration date
09/18/2013
Last updated
02/08/2016
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