Individual
STEPHANIE MARIE EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1520 KNOX AVE, NORTH AUGUSTA, SC 29841-4010
(803) 279-4120
Mailing address
1520 KNOX AVE, NORTH AUGUSTA, SC 29841-4010
(803) 279-4120
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
4189
SC
363AM0700X
Medical Physician Assistant
Primary
4189
SC
Other
Enumeration date
08/31/2020
Last updated
11/03/2024
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