Redmond Physician Practice Company

NPI #1962491381 in Cedartown, Georgia

Provider Information

NPI Number: 1962491381
Entity Type: Organization
Organization Name: Redmond Physician Practice Company
Primary Specialty: Internal Medicine
Enumeration Date: Oct 18, 2005
Last Updated: Dec 10, 2007

Practice Location

Address: 118 E GIRARD AVE
Address 2: SUITE 104
City: Cedartown
State: Georgia
ZIP Code: 30125-2778
Phone: (770) 749-1005

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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