Individual
ANGELA FARISS EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
(336) 716-2255
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
200001578
NC
207LP2900X
Pain Medicine (Anesthesiology) Physician
200001578
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10003016
—
VA
01
—
13336
BCBS
—
05
—
2005082000
—
WV
01
—
7094761
AETNA
—
01
—
802711
PARTNERS
—
05
—
8913336
—
NC
01
—
C5713
MEDCOST
—
05
—
Q0157B
—
SC
Enumeration date
12/19/2005
Last updated
02/04/2025
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