Individual
DOUGLAS C. REDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5505 PEACHTREE DUNWOODY RD STE 370, ATLANTA, GA 30342-1713
(770) 538-1772
(770) 538-1773
Mailing address
5505 PEACHTREE DUNWOODY RD STE 370, ATLANTA, GA 30342-1713
(770) 538-1772
(770) 538-1773
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
2085R0204X
Vascular & Interventional Radiology Physician
32463
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000755972L
—
GA
05
—
000755972Q
—
GA
01
—
1460074
COVENTRY
GA
01
—
1609510
CIGNA
GA
01
—
CA9328
MEDICARE-DMERC GROUP
GA
Enumeration date
10/11/2005
Last updated
07/21/2022
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