Provider Demographics
NPI:1225078546
Name:WELSH, EDMOND JOSEPH (MD)
Entity Type:Individual
Prefix:DR
First Name:EDMOND
Middle Name:JOSEPH
Last Name:WELSH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 E MCBEE AVE FL 4
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29601-2842
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1305 S SUBER RD
Practice Address - Street 2:
Practice Address - City:GREER
Practice Address - State:SC
Practice Address - Zip Code:29650-0944
Practice Address - Country:US
Practice Address - Phone:864-989-4609
Practice Address - Fax:864-989-4610
Is Sole Proprietor?:No
Enumeration Date:2006-06-07
Last Update Date:2023-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC35225207PE0004X, 207Q00000X
SC86813207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
P00010549OtherRAILROAD
NC89132U7Medicaid
132U7OtherBCBS NC
SCQ35225Medicaid
2013550Medicare ID - Type Unspecified
132U7OtherBCBS NC