Individual
DR. TARA REISHA EDWARDS-BOOKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O
Contact information
Practice address
13425 HOOVER CREEK BLVD STE 100, CHARLOTTE, NC 28273
(704) 316-2080
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(844) 266-8268
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2018-02021
NC
207R00000X
Internal Medicine Physician
H79827
MD
Other
Enumeration date
04/23/2012
Last updated
10/26/2020
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