Organization
EDGEWATER WOMEN'S HEALTH CENTRE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GRETA YVONNE WATTS MD (OWNER)
(704) 799-1012
Entity
Organization
Contact information
Practice address
548 WILLIAMSON RD, SUITE 2, MOORESVILLE, NC 28117-9111
(704) 799-1012
(704) 799-1016
Mailing address
PO BOX 3484, MOORESVILLE, NC 28117-3484
(704) 799-1012
(704) 799-1016
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
014GT
BC/BS NC
NC
Enumeration date
04/04/2006
Last updated
08/22/2020
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