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NPI Code Detail

MEDICARE: LAURA YORK EDGERTON PA-C

MEDICARE: LAURA YORK EDGERTON PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant0010-06838NC

General Provider Information

NPI Number : 1083015549
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA YORK EDGERTON PA-C
Provider Business Mailing Address
First Line : 144 RESERVATION DR
Second Line :
City : SPINDALE
State : NC
Zip : 28160-1566
Country : US
Telephone Number : 828-287-0200
Fax Number :
Provider Business Practice Location Address
First Line : 144 RESERVATION DR
Second Line :
City : SPINDALE
State : NC
Zip : 28160-1566
Country : US
Telephone Number : 828-287-0200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/15/2014
Last Update Date : 07/25/2019

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Directions to “ LAURA YORK EDGERTON PA-C” Practice Location

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