Organization
DR. THOMAS C. EDEWAARD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS C. EDEWAARD O.D. (OWNER)
(843) 821-9300
Entity
Organization
Contact information
Practice address
705 OLD TROLLEY RD, STE A, SUMMERVILLE, SC 29485-5212
(843) 821-9300
(843) 821-9300
Mailing address
705 OLD TROLLEY RD, STE A, SUMMERVILLE, SC 29485-5212
(843) 821-9300
(843) 821-9300
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
SC972
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D09729
—
SC
Enumeration date
11/15/2010
Last updated
11/15/2010
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