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NPI 1346446648 · live from the CMS NPI Registry

Autumn Lynn Edenfield, M.D,

Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery in Charleston, SC. National Provider Identifier 1346446648, active.

NPI record

NPI1346446648 Type 1 · individual
StatusActive
Primary specialtyObstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery 207VF0040X
Practice location171 Ashley Ave, Charleston, SC 29425
Practice phone843-792-1414
Mailing addressPo Box 751461, Charlotte, NC 28275
EnumeratedJune 23, 2007
Last updatedOctober 30, 2020
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Obstetrics & Gynecology207V00000X2011-00642 (NC)
Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery primary207VF0040X36680 (SC)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.