Redmond Physician Practice Company

NPI #1902960719 in Rome, Georgia

Provider Information

NPI Number: 1902960719
Entity Type: Organization
Organization Name: Redmond Physician Practice Company
Primary Specialty: Pediatrics
Enumeration Date: Dec 19, 2006
Last Updated: Dec 10, 2007

Practice Location

Address: 100 JOHN MADDOX DR NW
City: Rome
State: Georgia
ZIP Code: 30165-1431
Phone: (706) 290-9222

Authorized Official

Name: CHUCK LOCKE
Title: VP
Phone: (615) 373-7600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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Organizations

Provider Name	Specialty	City
Redmond Physician Practice Co IV	Pediatrics	Rome	AI Deep Dive

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