MEDICARE: CLAIRE HOZIER EDGERLY MD

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
1	207ZP0007X	Molecular Genetic Pathology (Pathology) Physician	2017-00314	NC

General Provider Information

NPI Number	:	1326487695
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CLAIRE HOZIER EDGERLY MD

Provider Business Mailing Address
First Line	:	7010 KIT CREEK RD
Second Line	:
City	:	MORRISVILLE
State	:	NC
Zip	:	27560-9761
Country	:	US
Telephone Number	:	919-748-5929
Fax Number	:

Provider Business Practice Location Address
First Line	:	7010 KIT CREEK RD
Second Line	:
City	:	MORRISVILLE
State	:	NC
Zip	:	27560-9761
Country	:	US
Telephone Number	:	919-748-5929
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/20/2013
Last Update Date	:	07/15/2020

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