Individual
MATTHEW STEVENS EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
9601600
NC
2086S0102X
Surgical Critical Care Physician
9601600
NC
2086S0129X
Vascular Surgery Physician
Primary
9601600
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1333T
BCBS
—
05
—
2004895000
—
WV
01
—
37162
PARTNERS
—
05
—
7302754
—
VA
01
—
7906221
AETNA
—
05
—
891333T
—
NC
01
—
C5490
MEDCOST
—
05
—
Q01601
—
SC
Enumeration date
12/13/2005
Last updated
03/29/2022
Update your record
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