| Doctor Name: | MS. CAROL ELIZABETH EDWARDS |
| NPI Number: | 1023025244 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NA |
| License Number: | NA |
| Business Practice Address: | 1423 N Main St Clovis, NM - 881014747 |
| Business Phone Number: | 5057630988 |
| Business Fax Number: | |
| Mailing Address: | 1423 N Main St, CLOVIS |
| State: | NM |
| Postal Code: | 881014747 |
| Phone Number: | 5057630988 |
| Fax Number: | |
| NPI Enumeration Date: | 08/01/2006 |
| NPI Last Update Date: | 07/15/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BC3200X |
| License Number: | NA |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NM |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Customized Equipment |
| Taxonomy Definition: | |