| Redmond Physician Practice Company | |
|
3138 Maple Rd Se Lindale GA 30147-1309 | |
| (706) 291-4119 | |
| (706) 291-6866 |
| Full Name | Redmond Physician Practice Company |
|---|---|
| Speciality | Family Medicine |
| Location | 3138 Maple Rd Se, Lindale, Georgia |
| Authorized Official Name and Position | Chuck Locke (VICE PRESIDENT) |
| Authorized Official Contact | 6153737604 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Redmond Physician Practice Company 3138 Maple Rd Se Lindale GA 30147-1309 Ph: (706) 291-4119 | Redmond Physician Practice Company 3138 Maple Rd Se Lindale GA 30147-1309 Ph: (706) 291-4119 |
| NPI Number | 1447249842 |
|---|---|
| Provider Enumeration Date | 10/18/2005 |
| Last Update Date | 12/10/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447249842 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |