Provider Demographics
NPI:1942250402
Name:SESSIONS, EDWARD L
Entity type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:L
Last Name:SESSIONS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3835 RIVERS AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29405-7059
Mailing Address - Country:US
Mailing Address - Phone:843-554-7510
Mailing Address - Fax:843-747-3376
Practice Address - Street 1:3835 RIVERS AVE
Practice Address - Street 2:
Practice Address - City:NORTH CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29405-7059
Practice Address - Country:US
Practice Address - Phone:843-554-7510
Practice Address - Fax:843-747-3376
Is Sole Proprietor?:No
Enumeration Date:2006-05-12
Last Update Date:2007-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC584111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCGCH344Medicaid
SCT24563Medicare UPIN