Rediclinic Us, LLC

NPI #1902079601 in Canton, Georgia

Provider Information

NPI Number: 1902079601
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: Apr 2, 2008
Last Updated: Apr 2, 2008

Practice Location

Address: 1550 RIVERSTONE PKWY
City: Canton
State: Georgia
ZIP Code: 30114-2889
Phone: (866) 607-7334

Authorized Official

Name: MR. RICK VANPELT
Title: COO
Phone: (866) 607-7334

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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