| NPI | 1730357666 |
|---|---|
| Doing Business As | EDGEWATER CONVENIENT CARE |
| Entity Type | Organization |
| Authorized Contact | AMY ALI Owner 228-385-7715 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2008-02-13 |
| Last Update Date | 2008-02-13 |