| Rediclinic | |
|
1550 Riverstone Pkwy Canton GA 30114-2889 | |
| (866) 607-7334 | |
| Not Available |
| Full Name | Rediclinic |
|---|---|
| Speciality | Clinic/center |
| Location | 1550 Riverstone Pkwy, Canton, Georgia |
| Authorized Official Name and Position | Rick Vanpelt (COO) |
| Authorized Official Contact | 8666077334 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rediclinic 9 Greenway Plz Suite 2950 Houston TX 77046-0905 Ph: (866) 607-7334 | Rediclinic 1550 Riverstone Pkwy Canton GA 30114-2889 Ph: (866) 607-7334 |
| NPI Number | 1902079601 |
|---|---|
| Provider Enumeration Date | 04/02/2008 |
| Last Update Date | 04/02/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902079601 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
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