Edwards, Mary Dale

Edwards, Mary Dale is an individual health care provider with primary practice located at 1268 S 4Th St , Hartsville SC 29550-0703. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Edwards, Mary Dale can be contacted via phone (843) 332-3422.

Contact Information

Primary practice address
1268 S 4Th St Hartsville SC 29550-0703
Phone: (843) 332-3422
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 95980 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 20030 South Carolina

Profile Details

NPI number 1437579083
LBN Legal business name Edwards, Mary Dale
Credentials MSN, APRN, FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 22nd, 2014
Last updated Sep 22nd, 2021 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437579083 NPPES
South Carolina MEDICAID NP4124

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