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MS. SUSAN M. EDWARDS CA

Chiropractic Providers Chiropractor Radiology

Provider NPI: 1598945826

Provider Information:
MS. SUSAN M. EDWARDS CA
Gender: F
Sole Proprietor

Practice Location:
CLARK HEALTH CLINIC BLDG 5-4257 BASTOGNE EXT. FORT BRAGG, NC 28310-0001 US
Tel: 910-907-2575  Fax: --

Business Mailing Address:
509 SINGLETARY PL  FAYETTEVILLE, NC 28314-0954 US
Tel: 910-574-8113  Fax: --

NPI Information:
NPI: 1598945826
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y111NR0200XChiropractic Providers
Chiropractor
Radiology
NCCERTIFICATE

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 111NR0200X

Type:

Classification:



Definition:



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