Individual
DR. SOPHIA MAE EDWARDS-BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, PH.D
Contact information
Practice address
1400 HAL GREER BLVD, HUNTINGTON, WV 25701-4114
(304) 399-6500
(304) 399-6621
Mailing address
1340 HAL GREER BLVD, HUNTINGTON, WV 25701-3804
(304) 399-6500
(304) 399-6621
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
34473
WV
2085R0001X
Radiation Oncology Physician
MD34483
SC
2085R0001X
Radiation Oncology Physician
ME108066
FL
2085R0001X
Radiation Oncology Physician
TL34483
SC
2085R0203X
Therapeutic Radiology Physician
24405-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1942468426
—
WV
05
—
344835
—
SC
01
—
4952170
CIGNA
SC
05
—
5921093
—
NC
01
—
692677
WELLCARE
SC
01
—
80023852
SELECT HEALTH
SC
01
—
9322600
AETNA
SC
01
—
P01070951
RAILROAD MEDICARE
SC
Enumeration date
05/30/2008
Last updated
03/13/2025
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