Individual
EDWARD EARL MAREADY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
570 NEW WAVERLY PL, SUITE 210, CARY, NC 27518-7405
(919) 859-3373
Mailing address
1028 KINGSTON GROVE DR, CARY, NC 27519-6824
(336) 816-3372
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME93006
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07754
BCBS
FL
05
—
272354900
—
FL
01
—
P00253744
RR MCR
—
Enumeration date
10/19/2005
Last updated
02/27/2012
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