Rediclinic Us, LLC

NPI #1285801068 in Woodstock, Georgia

Provider Information

NPI Number: 1285801068
Entity Type: Organization
Organization Name: Rediclinic Us, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: REDICLINIC LLC
Primary Specialty: Clinic/Center
Enumeration Date: May 12, 2008
Last Updated: May 12, 2008

Practice Location

Address: 12182 HIGHWAY 92
City: Woodstock
State: Georgia
ZIP Code: 30188-4481
Phone: (186) 660-7733

Authorized Official

Name: MR. RICK VANPELT
Title: COO
Phone: (713) 580-0462

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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