Individual
MRS. VIRGINIA CHERYL EDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3300 POINSETT HWY, GREENVILLE, SC 29613-5622
(864) 294-2130
Mailing address
121 MCMAKIN DR, GREENVILLE, SC 29617-7725
(864) 293-6811
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1656
SC
Other
Enumeration date
10/31/2011
Last updated
10/31/2011
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