Individual
DR. JOHN FULTON REDDING II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5921 W FRIENDLY AVE STE D, GREENSBORO, NC 27410-3268
(336) 551-5830
(336) 268-3160
Mailing address
2415 PHILADELPHIA LAKE CT, GREENSBORO, NC 27408-4300
(336) 302-2082
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9501388
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
70737
BCBS
—
01
—
80928
MEDCOST
—
05
—
89-70737
—
NC
Enumeration date
06/08/2006
Last updated
03/26/2024
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