| NPI | 1205865979 |
|---|---|
| Doing Business As | EDGEWATER MEDICAL CENTER AND URGENT CARE |
| Entity Type | Organization |
| Authorized Contact | RODOLFO C REYES Owner/Manager 910-893-4111 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| 213E00000X Podiatrist | |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2023-11-09 |