Individual
DR. KEISHA L.B. REDDICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4750 WATERS AVE, SUITE 302, SAVANNAH, GA 31404-6200
(912) 350-5970
(912) 350-3374
Mailing address
4750 WATERS AVE STE 302, SAVANNAH, GA 31404-6268
(912) 350-5970
(912) 350-3374
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
071860
GA
207VM0101X
Maternal & Fetal Medicine Physician
2007-00868
NC
207VM0101X
Maternal & Fetal Medicine Physician
37501
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003146294A
—
GA
05
—
003146294B
—
GA
01
—
P01321567
RAILROAD MEDICARE
GA
05
—
Q68007
—
SC
Enumeration date
05/27/2007
Last updated
01/28/2022
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