Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GRACE EDMUNDS, PA-C
Active Sole ProprietorPhysician Assistant · SOUTH CHARLESTON, WV
Registration Details
- NPI Number
- 1255001244
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 20, 2021 (4.6041599625563 yrs)
- Last Updated
- Feb 21, 2025
- License
-
2878 (WV)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4605 MACCORKLE AVE SWSOUTH CHARLESTON, WV, 253091311Browse WV providers · Browse ZIP 25309
- Phone
- 3049745000
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in SOUTH CHARLESTON, WV
| Name | Credential | NPI |
|---|---|---|
| GREGORY PORTER | PA | 1053390450 |
| GARY LYNN JOHNSON | PA | 1336116003 |
| MS. MURIEL JUNE WILSON | PA-C | 1992749212 |
| MS. EMILY REBECCA BOLLING | PA-C | 1316962863 |
| MICHELE J ROACH-COURTS | PA-C | 1427150481 |
| NATALIE R BEESON | PA-C | 1114026861 |
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.