Individual
MICHAEL CHARLES EDWARDS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1084 RIBAUT RD, BEAUFORT, SC 29902-5494
(843) 524-0232
(843) 524-3323
Mailing address
1084 RIBAUT RD, BEAUFORT, SC 29902-5494
(843) 524-0232
(843) 524-3323
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
129
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0169920001
MEDICARE DURABLE MEDICAL
—
05
—
PD1297
—
SC
Enumeration date
08/08/2006
Last updated
02/17/2010
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