Individual
MR. SHEREDRICK ANTHONY EDMUNDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4233 SHAGBARK TRL, ANTIOCH, TN 37013-7311
(615) 578-2541
(615) 280-1160
Mailing address
4233 SHAGBARK TRL, ANTIOCH, TN 37013-7311
(615) 578-2541
(615) 280-1160
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
00017384
TN
Other
Enumeration date
07/19/2011
Last updated
07/19/2011
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