Individual
EDSON VICTOR MADAMBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
122 BRANCHWOOD SHOPPING CTR, JACKSONVILLE, NC 28546-5800
(910) 938-7555
Mailing address
2009 NEUSE BLVD, NEW BERN, NC 28560-3470
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P19249
NC
Other
Enumeration date
12/10/2019
Last updated
12/10/2019
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