Individual
MR. HENRY T EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.ED, LAT, ATC
Contact information
Practice address
4895 FAYETTEVILLE RD, LUMBERTON, NC 28358-2162
(910) 737-3181
(910) 739-4027
Mailing address
296 BAXLEY RD, SAINT PAULS, NC 28384-6766
(910) 865-3909
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
308
NC
Other
Enumeration date
04/04/2006
Last updated
07/08/2007
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