Provider Demographics
NPI:1033600572
Name:COLHOUN, EDWARD DUDLEY V (MD)
Entity Type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:DUDLEY
Last Name:COLHOUN
Suffix:V
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1064 GARDNER RD STE 112
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29407-5768
Mailing Address - Country:US
Mailing Address - Phone:843-723-3441
Mailing Address - Fax:843-805-4040
Practice Address - Street 1:1064 GARDNER RD STE 112
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29407-5768
Practice Address - Country:US
Practice Address - Phone:843-723-3441
Practice Address - Fax:843-805-4040
Is Sole Proprietor?:No
Enumeration Date:2018-05-21
Last Update Date:2024-05-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SC52843207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology