Individual
DR. EDWARD BLEASE EADIE JR.
Active
Individual
DR. EDWARD BLEASE EADIE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
18943
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1780672071
—
NC
01
—
23290
MEDCOST
NC
01
—
29670
BLUE CROSS BLUE SHIELD
NC
05
—
8929670
—
NC
05
—
NC2727
—
SC
Enumeration date
10/11/2005
Last updated
06/30/2016
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