Provider Demographics
NPI:1497935464
Name:EDWARDS, G MARTIN (CPED)
Entity Type:Individual
Prefix:
First Name:G
Middle Name:MARTIN
Last Name:EDWARDS
Suffix:
Gender:M
Credentials:CPED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:54 SINGING PINES DR
Mailing Address - Street 2:
Mailing Address - City:CANDLER
Mailing Address - State:NC
Mailing Address - Zip Code:28715-9634
Mailing Address - Country:US
Mailing Address - Phone:828-777-8772
Mailing Address - Fax:
Practice Address - Street 1:54 SINGING PINES DR
Practice Address - Street 2:
Practice Address - City:CANDLER
Practice Address - State:NC
Practice Address - Zip Code:28715-9634
Practice Address - Country:US
Practice Address - Phone:828-777-8772
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-11-07
Last Update Date:2010-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224L00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPedorthist