Crystal Edwards in Lumberton - Physician Assistant
Crystal Edwards - NPI 1992795041
Crystal Edwards is a Physician Assistant in Lumberton, North Carolina. Crystal Edwards practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Crystal Edwards is 1992795041. The last update date is 2007-07-08.
Crystal Edwards's current location address is 4390 Fayetteville Rd, Lumberton, North Carolina. You can contact this provider via phone number 9107387154 and fax number 9107384455. The mailing address for Crystal Edwards is 4390 Fayetteville Rd, Lumberton, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Crystal Edwards |
|---|---|
| Address | 4390 Fayetteville Rd, Lumberton, North Carolina |
| Phone Number | 9107387154 |
| Fax Number | 9107384455 |
| Sole Proprietor | N |
| Credentials | P.A.-C |
NPI Number Detail
| NPI Number | 1992795041 |
|---|---|
| Provider Enumeration Date | 2005-10-28 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4390 Fayetteville Rd |
|---|---|
| City | Lumberton |
| State | North Carolina (NC) |
| Post Code | 283582677 |
| Phone Number | 9107387154 |
| Fax Number | 9107384455 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 103768 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2703 | NC | BCBS | |
| 8941520 | NC | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Crystal Edwards?
The Crystal Edwards has been issued the NPI (National Provider Identifier) 1992795041 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Crystal Edwards is physically located?
The Crystal Edwards is situated at the following address: 4390 Fayetteville Rd, Lumberton, NC 283582677.
What is Crystal Edwards's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Crystal Edwards is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.
On what date did the Crystal Edwards receive its 1992795041 assignment from the Centers for Medicare & Medicaid Services?
The Crystal Edwards was assigned its 1992795041 by the Centers for Medicare & Medicaid Services on 2005-10-28.
When was the information related to Crystal Edwards most recently updated or refreshed?
The details pertaining to the Crystal Edwards, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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