# REDAN HAIRSTON FAMILY MEDICINE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Redan Hairston Pediatric & Adult Medicine, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235167982
- **Authorized official:** MARY CAMMACK (PRACTICE MANAGER)
- **Authorized official phone:** (404) 297-1818

## Contact information

- **Practice address:** 8225 MALL PKWY, SUITE 250, LITHONIA, GA 30038-6994
- **Practice address phone:** (404) 297-1818
- **Practice address fax:** (404) 297-1629
- **Mailing address:** 8225 MALL PKWY, SUITE 250, LITHONIA, GA 30038-6994
- **Mailing address phone:** (404) 297-1818
- **Mailing address fax:** (404) 297-1629

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | GA | Yes |

## Other

- **Enumeration date:** 06/30/2006
- **Last updated:** 12/13/2012