Individual
EDWARD WASHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7810 PROVIDENCE RD, SUITE 102, CHARLOTTE, NC 28226-2954
(704) 543-6636
Mailing address
7810 PROVIDENCE RD, CHARLOTTE, NC 28226-2954
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
25094
NC
207Q00000X
Family Medicine Physician
17497
SC
207Q00000X
Family Medicine Physician
Primary
25094
NC
Other
Enumeration date
06/09/2006
Last updated
11/04/2019
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