Individual
TIMOTHY DREW EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
122 N. BRICKYARD RD, COLUMBIA, SC 29223
(803) 736-1024
(803) 699-3284
Mailing address
122 N. BRICKYARD RD, COLUMBIA, SC 29223
(803) 736-1024
(803) 699-3284
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9431
SC
Other
Enumeration date
08/06/2019
Last updated
08/06/2019
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