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NPI Code Detail

MEDICARE: CARL LEE EDWARDS

MEDICARE: CARL LEE EDWARDS
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
1367500000XCertified Registered Nurse Anesthetist26259SC
2163W00000XRegistered Nurse240130SC

General Provider Information

NPI Number : 1184291593
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARL LEE EDWARDS
Provider Business Mailing Address
First Line : PO BOX 6069
Second Line :
City : WEST COLUMBIA
State : SC
Zip : 29171-6069
Country : US
Telephone Number : 803-935-8292
Fax Number :
Provider Business Practice Location Address
First Line : 2720 SUNSET BLVD
Second Line :
City : WEST COLUMBIA
State : SC
Zip : 29169-4810
Country : US
Telephone Number : 803-791-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2021
Last Update Date : 02/17/2026

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