| Edwards Health Pllc | |
|
4748 Main Street Shallotte NC 28470-1880 | |
| (910) 537-5919 | |
| Not Available |
| Full Name | Edwards Health Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4748 Main Street, Shallotte, North Carolina |
| Authorized Official Name and Position | Kaylan Elizabeth Edwards (OWNER) |
| Authorized Official Contact | 9105375919 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Edwards Health Pllc 209 Smith Ave # 2035 Shallotte NC 28470-4459 Ph: () - | Edwards Health Pllc 4748 Main Street Shallotte NC 28470-1880 Ph: (910) 537-5919 |
| NPI Number | 1952178105 |
|---|---|
| Provider Enumeration Date | 12/07/2023 |
| Last Update Date | 01/08/2024 |
| Medicare PECOS PAC ID | 3577907815 |
|---|---|
| Medicare Enrollment ID | O20240214004334 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952178105 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Kaylan E Edwards |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396124467 PECOS PAC ID: 9335438738 Enrollment ID: I20190819002013 |
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