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Organization
REDMOND PHYSICIAN PRACTICE COMPANY
Active
Organization
REDMOND PHYSICIAN PRACTICE COMPANY
Active
Other names
Redmond Family Care Center at East Rome
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHUCK LOCKE (VP)
(615) 373-7604
Entity
Organization
Contact information
Practice address
715 E 2ND AVE SW, ROME, GA 30161-6148
(706) 235-1102
(706) 235-7188
Mailing address
715 E 2ND AVE SW, ROME, GA 30161-6148
(706) 235-1102
(706) 235-7188
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/18/2005
Last updated
12/10/2007
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