Individual
MICHAEL D EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
30 MEMORIAL DR, PINEHURST, NC 28374-8707
(910) 295-4400
(910) 295-2810
Mailing address
30 MEMORIAL DR, PINEHURST, NC 28374-8707
(910) 295-4400
(910) 295-2810
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
200200348
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13529
BCBS NC
NC
05
—
8913529
—
NC
Enumeration date
03/29/2006
Last updated
02/27/2008
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