Individual
MS. SUSAN M. EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CA
Contact information
Practice address
CLARK HEALTH CLINIC, BLDG 5-4257 BASTOGNE EXT., FORT BRAGG, NC 28310-0001
(910) 907-2575
Mailing address
509 SINGLETARY PL, FAYETTEVILLE, NC 28314-0954
(910) 574-8113
Taxonomy
Speciality
Code
Description
License number
State
111NR0200X
Radiology Chiropractor
Primary
CERTIFICATE
NC
Other
Enumeration date
11/03/2007
Last updated
11/03/2007
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