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
—
—
Other
Enumeration date
10/18/2005
Last updated
12/10/2007
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