1659628030 NPI number — DR. GENE RANDOLPH EDWARDS PH.D.

Table of content: DR. GENE RANDOLPH EDWARDS PH.D. (NPI 1659628030)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1659628030 NPI number — DR. GENE RANDOLPH EDWARDS PH.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
EDWARDS
Provider First Name:
GENE
Provider Middle Name:
RANDOLPH
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
PH.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1659628030
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/05/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1923 J N PEASE PL
Provider Second Line Business Mailing Address:
SUITE 204
Provider Business Mailing Address City Name:
CHARLOTTE
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
28262-4513
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
704-503-3535
Provider Business Mailing Address Fax Number:
704-593-5555

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1923 J N PEASE PL
Provider Second Line Business Practice Location Address:
SUITE 204
Provider Business Practice Location Address City Name:
CHARLOTTE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28262-4513
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
704-503-3535
Provider Business Practice Location Address Fax Number:
704-593-5555
Provider Enumeration Date:
08/05/2012

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 103TC1900X , with the licence number:  3660 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 3660 . This is a "NC PSYCHOLOGY BOARD LICENSE NUMBER" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".




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