Individual
MR. CHARLES DAVID EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
279 N GROVE MEDICAL PARK DR, SPARTANBURG, SC 29303-4222
(864) 582-7025
Mailing address
279 N GROVE MEDICAL PARK DR, SPARTANBURG, SC 29303-4222
(864) 582-7025
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4377
SC
Other
Enumeration date
07/23/2011
Last updated
03/23/2017
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