Provider Demographics
NPI:1427771062
Name:CHAMBERS, ELFREDA RICHARDSON
Entity type:Individual
Prefix:
First Name:ELFREDA
Middle Name:RICHARDSON
Last Name:CHAMBERS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MARTHA
Other - Middle Name:ELFREDA
Other - Last Name:CHAMBERS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:111 BATESVIEW DR # DRR
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29607-1128
Mailing Address - Country:US
Mailing Address - Phone:864-706-6184
Mailing Address - Fax:
Practice Address - Street 1:111 BATESVIEW DR # DRR
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29607-1128
Practice Address - Country:US
Practice Address - Phone:864-706-6184
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-20
Last Update Date:2022-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant