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Individual

JAMAL RASHAWN EDWARDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT, DPT, ATC, CSCS

Contact information

Practice address
2301 ERWIN RD, DURHAM, NC 27710-2111
(919) 684-8111
Mailing address
3806 UNIVERSITY DR APT 234, DURHAM, NC 27707-6880
(317) 937-7518

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P21497
NC
2255A2300X
Athletic Trainer
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
07/12/2017
Last updated
08/31/2022
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