NPI 1619066586 · live from the CMS NPI Registry
Jonathan Charles Edwards, MD
Psychiatry & Neurology, Neurology in Charleston, SC. National Provider Identifier 1619066586, active.
NPI record
| NPI | 1619066586 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Neurology 2084N0400X |
| Practice location | 171 Ashley Ave, Charleston, SC 29425 |
| Practice phone | 843-792-1414 |
| Mailing address | Po Box 751461, Charlotte, NC 28275 |
| Enumerated | October 11, 2006 |
| Last updated | January 4, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Neurology primary | 2084N0400X | 29831 (SC) |
| Psychiatry & Neurology, Neurology | 2084N0400X | 4301071723 (MI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.