Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 28025 | NC |
Y | 207XS0106X | Orthopaedic Hand Surgeon | 28025 | NC |
NPI | 1336142710 |
---|---|
Provider Name | George S Edwards JR. |
First Address | Raleigh, NC 27609-6832 |
Second Address | Raleigh, NC 27609-6832 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/05/2005 |
Last Update Date | 07/11/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
202847055 | RAILROAD MEDICARE (01) | NC |
8930205 | (05) | NC |
C81723 | (02) | NC |