Henry T Edwards, M.Ed, LAT, ATC
Specialist/Technologist, Athletic Trainer in Lumberton, NC. Individual provider (NPI-1).
NPI number1811959117
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1811959117
- Entity type
- Individual (NPI-1)
- Name
- Mr. Henry T Edwards
- Credential
- M.Ed, LAT, ATC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 4, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 308 | NC | Yes |
Practice location
4895 Fayetteville RdLumberton, NC 28358-2162
Phone 910-737-3181 · Fax 910-739-4027
Mailing address
296 Baxley RdSaint Pauls, NC 28384-6766
Phone 910-865-3909
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