Redmond Physician Practice Company

NPI #1356330583 in Shannon, Georgia

Provider Information

NPI Number: 1356330583
Entity Type: Organization
Organization Name: Redmond Physician Practice Company
Primary Specialty: Family Medicine
Enumeration Date: Oct 20, 2005
Last Updated: Dec 10, 2007

Practice Location

Address: 5865 NEW CALHOUN HIGHWAY, N.E.
City: Shannon
State: Georgia
ZIP Code: 30172
Phone: (706) 236-1919

Authorized Official

Name: MR. CHUCK LOCKE
Title: DIRECTOR
Phone: (615) 373-7604

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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