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Organization
REDMOND PHYSICIAN PRACTICE COMPANY
Active
Organization
REDMOND PHYSICIAN PRACTICE COMPANY
Active
Other names
Redmond Family Care Center Trion in Shannon
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHUCK LOCKE (DIRECTOR)
(615) 373-7604
Entity
Organization
Contact information
Practice address
5865 NEW CALHOUN HIGHWAY, N.E., SHANNON, GA 30172
(706) 236-1919
(706) 236-1919
Mailing address
5865 NEW CALHOUN HIGHWAY, N.E., SHANNON, GA 30172
(706) 236-1919
(706) 236-1919
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/20/2005
Last updated
12/10/2007
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