Organization
EDGE MEDICAL SERVICES
Active
Parent organization
EDGE MEDICAL SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
EDGE MEDICAL SERVICES
Authorized official
VICTORIA LEE (ADMIN)
21078783440
Entity
Organization
Contact information
Practice address
12330 TANTALLON CT, PINEVILLE, NC 28134-6410
(210) 787-8344
Mailing address
1411 N LOOP 1604 E, 105187, SAN ANTONIO, TX 78232-1339
(210) 787-8344
Taxonomy
Speciality
Code
Description
License number
State
261QB0400X
Birthing Clinic/Center
Primary
—
—
Other
Enumeration date
02/28/2017
Last updated
02/28/2017
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