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Organization
REDMOND PHYSICIAN PRACTICE COMPANY
Active
Organization
REDMOND PHYSICIAN PRACTICE COMPANY
Active
Other names
Redmond Urgent Care of Lindale
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHUCK LOCKE (VICE PRESIDENT)
(615) 373-7604
Entity
Organization
Contact information
Practice address
3138 MAPLE RD SE, LINDALE, GA 30147-1309
(706) 291-4119
(706) 291-6866
Mailing address
3138 MAPLE RD SE, LINDALE, GA 30147-1309
(706) 291-4119
(706) 291-6866
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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