Edwards, Gene Randolph
Edwards, Gene Randolph is an sole proprietor health care provider with primary practice located at 1923 J N Pease Pl Suite 204, Charlotte NC 28262-4513. He recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as his primary health care specialty. Edwards, Gene Randolph can be contacted via phone (704) 503-3535.Contact Information
Primary practice address
1923 J N Pease Pl Suite 204
Charlotte NC 28262-4513
Phone: (704) 503-3535
Fax: (704) 593-5555
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | 3660 | North Carolina |
Profile Details
| NPI number | 1659628030 |
|---|---|
| LBN Legal business name | Edwards, Gene Randolph |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 5th, 2012 |
| Last updated | Aug 5th, 2012 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659628030 | NPPES |
| North Carolina | Other | 3660 | NC PSYCHOLOGY BOARD LICENSE NUMBER |
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