# REDMOND PHYSICIAN PRACTICE COMPANY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Redmond Family Care Center Trion in Shannon
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356330583
- **Authorized official:** MR. CHUCK LOCKE (DIRECTOR)
- **Authorized official phone:** (615) 373-7604

## Contact information

- **Practice address:** 5865 NEW CALHOUN HIGHWAY, N.E., SHANNON, GA 30172
- **Practice address phone:** (706) 236-1919
- **Practice address fax:** (706) 236-1919
- **Mailing address:** 5865 NEW CALHOUN HIGHWAY, N.E., SHANNON, GA 30172
- **Mailing address phone:** (706) 236-1919
- **Mailing address fax:** (706) 236-1919

## Taxonomy

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

## Other

- **Enumeration date:** 10/20/2005
- **Last updated:** 12/10/2007