Individual
DOUGLAS LINDLEY EDENBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
3020 WEDDINGTON RD, CONCORD, NC 28027-8158
(704) 403-7700
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-08985
NC
Other
Enumeration date
03/03/2019
Last updated
07/15/2024
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