Garrett, Edwina B.
Garrett, Edwina B. is an sole proprietor health care provider with primary practice located at 107 S.E. Main Street Suite 410, Rocky Mount NC 27801. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Garrett, Edwina B. can be contacted via phone (252) 442-5771.Contact Information
Primary practice address
107 S.E. Main Street Suite 410
Rocky Mount NC 27801
Phone: (252) 442-5771
Fax: (252) 442-5780
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 1566 | North Carolina |
Profile Details
| NPI number | 1316003825 |
|---|---|
| LBN Legal business name | Garrett, Edwina B. |
| Credentials | Master of Arts (MA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 29th, 2006 |
| Last updated | Jul 9th, 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 | 1316003825 | NPPES |
| North Carolina | MEDICAID | 6107398 | |
| North Carolina | Other | 144HW | |
| North Carolina | Other | 196488 |
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