Individual
DR. KENT RUSSELL EDWARDS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
401 MULBERRY ST SW STE 202, LENOIR, NC 28645-5463
(828) 757-6464
(828) 757-6424
Mailing address
169 ASHLEY AVE, ROOM 202 MAIN HOSPITAL, CHARLESTON, SC 29425-8905
(843) 792-3072
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
2020-04205
NC
208800000X
Urology Physician
LL39777
SC
Other
Enumeration date
06/23/2016
Last updated
03/20/2023
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