Doctor Name: | MR. JAMES RUSSELL EDWARDS |
NPI Number: | 1538286034 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.T. |
License Number: | 7578 |
Business Practice Address: | 1001 W Broad St Elizabethtown, NC - 283378715 |
Business Phone Number: | 9108624042 |
Business Fax Number: | |
Mailing Address: | 5432 South Forty Dr, HOPE MILLS |
State: | NC |
Postal Code: | 28348 |
Phone Number: | 9102230738 |
Fax Number: | |
NPI Enumeration Date: | 03/22/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 7578 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |