Individual
THOMAS B EDMUNDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2724 MIDDLEBURG DR, COLUMBIA, SC 29204-2437
(803) 251-6602
(803) 251-6605
Mailing address
2724 MIDDLEBURG DR, COLUMBIA, SC 29204-2437
(803) 251-6602
(803) 251-6605
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
22045
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
220451
—
SC
Enumeration date
06/10/2006
Last updated
12/13/2007
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