Provider Demographics
NPI:1366240756
Name:EDMUNDS, NATESHA L
Entity type:Individual
Prefix:
First Name:NATESHA
Middle Name:L
Last Name:EDMUNDS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 CHICK SPRINGS RD STE 214E
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29609-4971
Mailing Address - Country:US
Mailing Address - Phone:864-203-5005
Mailing Address - Fax:
Practice Address - Street 1:1 CHICK SPRINGS RD STE 214E
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29609-4971
Practice Address - Country:US
Practice Address - Phone:864-203-5005
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-03
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies