Provider Demographics
NPI:1912148222
Name:EDWARDS, CATHY LEWIS
Entity Type:Individual
Prefix:MRS
First Name:CATHY
Middle Name:LEWIS
Last Name:EDWARDS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2001 COMMONWEALTH AVE ST G
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28205-5021
Mailing Address - Country:US
Mailing Address - Phone:704-377-3267
Mailing Address - Fax:704-377-9702
Practice Address - Street 1:2001 COMMONWEALTH AVE ST G
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28205-5021
Practice Address - Country:US
Practice Address - Phone:704-377-3267
Practice Address - Fax:704-377-9702
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-16
Last Update Date:2010-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care