Edge, Mark Thomas

Edge, Mark Thomas is an individual health care provider with primary practice located at 620 Summit Crossing Pl Ste 106, Gastonia NC 28054. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Edge, Mark Thomas can be contacted via phone (704) 867-8021.

Contact Information

Primary practice address
620 Summit Crossing Pl Ste 106 Gastonia NC 28054
Phone: (704) 867-8021
Fax: (704) 864-4606
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X 200200890 North Carolina
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 200200890 North Carolina

Profile Details

NPI number 1003899766
LBN Legal business name Edge, Mark Thomas
Credentials PHD MD
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 26th, 2005
Last updated Aug 23rd, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003899766 NPPES
Other D4988 MEDCOST
MEDICAID N0089D MEDCOST
Other 560988142 MEDCOST
Other 3616445 MEDCOST
MEDICAID 89132UH MEDCOST
Other 132UH MEDCOST
Other 7436626 MEDCOST
Other 801319 MEDCOST
Other P00167818 MEDCOST

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