Individual
KAITLYN EDGINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7611 SAINT ANDREWS RD, IRMO, SC 29063-2834
(803) 714-3300
(803) 626-9356
Mailing address
PO BOX 530062, ATLANTA, GA 30353-0062
(843) 572-7727
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3353PA
—
SC
Enumeration date
10/19/2018
Last updated
04/22/2024
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