| Emily Shonk Edwards Do Pc | |
|
2009 N Augusta St Ste B Staunton VA 24401-2436 | |
| (540) 765-8177 | |
| (877) 852-8642 |
| Full Name | Emily Shonk Edwards Do Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 2009 N Augusta St Ste B, Staunton, Virginia |
| Authorized Official Name and Position | Emily Shonk Edwards (CEO) |
| Authorized Official Contact | 5405692834 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Emily Shonk Edwards Do Pc Po Box 234 Staunton VA 24402-0234 Ph: (540) 569-2834 | Emily Shonk Edwards Do Pc 2009 N Augusta St Ste B Staunton VA 24401-2436 Ph: (540) 765-8177 |
| NPI Number | 1831608918 |
|---|---|
| Provider Enumeration Date | 09/21/2017 |
| Last Update Date | 06/28/2022 |
| Medicare PECOS PAC ID | 9234492950 |
|---|---|
| Medicare Enrollment ID | O20180411001575 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831608918 | NPI | - | NPPES |
| 1366641011 | Other | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0102202642 (Virginia) | Primary |
| Provider Name | Emily Shonk Edwards |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366641011 PECOS PAC ID: 6406041136 Enrollment ID: I20101108001259 |
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