Individual
MR. JOHN BENJAMIN EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, ACSW, LCSW
Contact information
Practice address
325 N MAIN ST, TARBORO, NC 27886-5009
(252) 823-2927
(252) 823-8792
Mailing address
325 N MAIN ST, TARBORO, NC 27886-5009
(252) 823-2927
(252) 823-8792
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
C000554
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
131UR
BLUECROSSBLUESHIELD
NC
01
—
53901
CIGNA
NC
05
—
6002083
—
NC
Enumeration date
01/26/2007
Last updated
07/08/2007
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