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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. CLYDE RICHARD EDWARDS, PA-C

Active

MR. CLYDE RICHARD EDWARDS, PA-C is a Physician Assistant healthcare provider located in WAKE FOREST, North Carolina. NPI 1194716241 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · WAKE FOREST, NC

Registration Details

NPI Number
1194716241
Provider Type
Individual
Gender
Male
NPI Issued
Oct 28, 2005 (20.780107307029 yrs)
Last Updated
Sep 25, 2013
License
102843 (NC)

Practice Information

Address
1655 WAKE DR
SUITE 101
WAKE FOREST, NC, 275874745
Browse NC providers · Browse ZIP 27587
Phone
9195564779
Fax
9195565277
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in WAKE FOREST, NC

Name Credential NPI
STUART RUTLEDGE GERMAN P.A. 1821061359
MRS. JENA ENGEL HOH PAC 1598738866
MR. REZA JOHN HATEFI PAC 1114960036
MRS. CAROLYN KAY SOLAK PA-C 1578509881
RAVI K. SINGH PA-C 1083620009
AMI CRABTREE P.A. 1093864001
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.