| NPI | 1073043642 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN A. EDWARDS A. EDWARDS EDWARDS President 980-348-0957 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 9400481) |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2017-06-15 |