Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Clyde Richard Edwards, PA-C

Individual provider Physician Assistant · NPI 1194716241

Mr. Clyde Richard Edwards, PA-C is a Physician Assistant in Wake Forest, North Carolina. Licensed in North Carolina. Registered with an NPI since 2005.

Licensed in
NC
In the registry since
2005
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1655 Wake Dr Ste 101
Wake Forest, NC 27587-4745
Phone: (919) 556-4779
Fax: (919) 556-5277
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 102843 (NC)

Record details

NPI number1194716241
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 28, 2005
Last updated in NPPESSeptember 25, 2013

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