Individual
EDWARD N HANLEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1025 MOREHEAD MEDICAL DR, SUITE 300, CHARLOTTE, NC 28204-2963
(704) 355-5982
(704) 355-5984
Mailing address
PO BOX 601372, CHARLOTTE, NC 28260-1372
(704) 355-5982
(704) 355-5984
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
000037845
NC
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
37845
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700890985
—
NC
01
—
39054
NCBCBS
NC
05
—
8939054
—
NC
05
—
N37845
—
SC
Enumeration date
07/27/2006
Last updated
12/06/2016
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