Organization
COURTNEY P EDWARDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. COURTNEY PATRICE EDWARDS DDS (DENTIST)
(704) 817-8728
Entity
Organization
Contact information
Practice address
2303 W MOREHEAD ST, SUITE 103, CHARLOTTE, NC 28208-5186
(704) 817-8728
(704) 817-7538
Mailing address
2303 W MOREHEAD ST, SUITE 103, CHARLOTTE, NC 28208-5186
(704) 817-8727
(704) 817-7538
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8943
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5914560
—
NC
Enumeration date
08/11/2014
Last updated
10/31/2014
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