| Redmed, LLC | |
|
12 Brookes Xing Pontotoc MS 38863-1009 | |
| (662) 489-4044 | |
| Not Available |
| Full Name | Redmed, LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 12 Brookes Xing, Pontotoc, Mississippi |
| Authorized Official Name and Position | Laurie A. Duncan (CFO) |
| Authorized Official Contact | 6783326122 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Redmed, LLC 12 Brookes Xing Pontotoc MS 38863-1009 Ph: (678) 332-6122 | Redmed, LLC 12 Brookes Xing Pontotoc MS 38863-1009 Ph: (662) 489-4044 |
| NPI Number | 1962233122 |
|---|---|
| Provider Enumeration Date | 08/09/2024 |
| Last Update Date | 08/09/2024 |
| Certification Date | 08/09/2024 |
| Medicare PECOS PAC ID | 2961633656 |
|---|---|
| Medicare Enrollment ID | O20250310003372 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962233122 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | () | Primary |
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