Individual
BETH ANN EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1724 ROXIE AVE, FAYETTEVILLE, NC 28304-1623
(910) 484-1212
(910) 484-0702
Mailing address
109 BRADFORD AVE, FAYETTEVILLE, NC 28301-5401
(910) 323-0601
(910) 222-6424
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
FPN200197
NC
Other
Enumeration date
01/23/2007
Last updated
07/08/2007
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