person
Mark Thomas Edge, PHDMD
Diagnostic Radiology Physician in Gastonia, North Carolina
NPI 1003899766

Mark Thomas Edge is a Diagnostic Radiology Physician based in Gastonia, NC and is specialized in Diagnostic Radiology. Mark Thomas Edge practices in Gastonia, NC and has the professional credentials of PHDMD. The NPI Number for Mark Thomas Edge is 1003899766 and holds a License No. 200200890 (North Carolina).

The current practice location address for Mark Thomas Edge is 620 Summit Crossing Pl, Gastonia, NC and can be reached out via phone at 704-867-8021 and via fax at 704-864-4606. You can also correspond with Mark Thomas Edge through the mailing address at 620 SUMMIT CROSSING PL, GASTONIA, NC - 28054 (mailing address contact number: 704-867-8021).

Location: 620 Summit Crossing Pl, Gastonia, NC, 28054
person
Provider Profile Details
NPI Number
1003899766
Provider Name
Mark Thomas Edge
Credential
PHDMD
Provider Entity Type
Individual
Gender
Male
Address
620 Summit Crossing Pl, Gastonia, NC, 28054
Phone Number
704-867-8021
Fax Number
704-864-4606
Provider Enumeration Date
11/26/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
D4988 01 MEDCOST
N0089D 05 SC
560988142 01 UNITED HEALTHCARE
3616445 01 AETNA HMO
89132UH 05 NC
132UH 01 BLUE CROSS BLUE SHIELD
7436626 01 AETNA PPO
801319 01 PARTNERS
P00167818 01 RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
620 Summit Crossing Pl
City
State
Zip
28054
Phone Number
704-867-8021
Fax Number
704-864-4606
person
Provider Business Mailing Address Details
Address
620 Summit Crossing Pl
City
State
Zip
28054
Phone Number
704-867-8021
Fax Number
704-864-4606
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Neuroradiology
Taxonomy
License No.
200200890 (North Carolina)
Definition
A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
200200890 (North Carolina)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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