MR. Clyde Richard Edwards, PA-C
NPI #1194716241 in Wake Forest, North Carolina
Provider Information
- NPI Number
- 1194716241
- Entity Type
- Individual
- Name
- MR. Clyde Richard Edwards, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Oct 28, 2005
- Last Updated
- Sep 25, 2013
Practice Location
- Address
- 1655 WAKE DR
- Address 2
- SUITE 101
- City
- Wake Forest
- State
- North Carolina
- ZIP Code
- 27587-4745
- Phone
- (919) 556-4779
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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