Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. SHEREDRICK ANTHONY EDMUNDSON
ActiveMR. SHEREDRICK ANTHONY EDMUNDSON is a Contractor healthcare provider located in ANTIOCH, Tennessee. NPI 1902194434 is currently active in the NPPES registry. Verify at CMS.
Contractor · ANTIOCH, TN
Registration Details
- NPI Number
- 1902194434
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 19, 2011 (15.044865368587 yrs)
- Last Updated
- Jul 19, 2011
- License
-
00017384 (TN)
Practice Information
- Address
-
4233 SHAGBARK TRLANTIOCH, TN, 370137311Browse TN providers · Browse ZIP 37013
- Phone
- 6155782541
- Fax
- 6152801160
- Primary Specialty
-
Contractor
171W00000X
Other Contractor Providers in ANTIOCH, TN
| Name | Credential | NPI |
|---|---|---|
| MR. ANDRE L ANDERSON | BCBA | 1134398480 |
| MS. DESIREE WILLIAMS | OT | 1376916775 |
| TYWASKA EWIN | — | 1023722709 |
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.