Organization
REDMOND NEUROSURGERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY DUNCAN (VP)
(706) 314-2045
Entity
Organization
Contact information
Practice address
2112 SHORTER AVE NW, ROME, GA 30165-2042
(706) 314-2045
(706) 314-2048
Mailing address
2112 SHORTER AVE NW, ROME, GA 30165-2042
(706) 314-2045
(706) 314-2048
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
455180212A
—
GA
Enumeration date
08/05/2008
Last updated
05/19/2009
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