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Individual

DR. TARA REISHA EDWARDS-BOOKER

Active
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Individual

DR. TARA REISHA EDWARDS-BOOKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O

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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