Edwards, Charles Randall
Edwards, Charles Randall is an sole proprietor health care provider with primary practice located at 1303 Greensboro Street Ext , Lexington NC 27295-1924. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Edwards, Charles Randall can be contacted via phone (336) 249-0237.Contact Information
Primary practice address
1303 Greensboro Street Ext
Lexington NC 27295-1924
Phone: (336) 249-0237
Fax: (336) 243-7685
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 0879 | North Carolina |
Profile Details
| NPI number | 1124153838 |
|---|---|
| LBN Legal business name | Edwards, Charles Randall |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 22nd, 2007 |
| Last updated | Jul 26th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124153838 | NPPES |
| North Carolina | MEDICAID | 6000633 |
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