Individual
SHERYLENE ELIZABETH EDMONSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1212 21ST ST SW, LANETT, AL 36863-4660
(706) 518-5390
Mailing address
1212 21ST ST SW, LANETT, AL 36863-4660
(706) 518-5390
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
61582
AL
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
61582
AL
335E00000X
Prosthetic/Orthotic Supplier
61582
AL
Other
Enumeration date
06/02/2025
Last updated
06/02/2025
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