Healthcare Provider Details

I. General information

NPI: 1144964487
Provider Name (Legal Business Name): WILLIAM SANFORD EDWARDS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/22/2022
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

724 AUBREY BELL DR
MATTHEWS NC
28105-5055
US

IV. Provider business mailing address

6035 FAIRVIEW RD
CHARLOTTE NC
28210-3256
US

V. Phone/Fax

Practice location:
  • Phone: 251-455-0837
  • Fax:
Mailing address:
  • Phone: 704-295-3000
  • Fax: 704-295-3468

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number2026-01247
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: