Individual
MR. JOSEPH JACKSON EDWARDS III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
4390 BELLE OAKS DR, SUITE 120, NORTH CHARLESTON, SC 29405-8559
(866) 571-2700
(877) 571-2124
Mailing address
507 STINSON DR, UNIT G2, CHARLESTON, SC 29407-6221
(843) 810-9490
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2355
SC
Other
Enumeration date
08/11/2009
Last updated
08/11/2009
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