Individual
ANGELIQUE P REDUS-MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1204 W MAIN ST, 6TH FLOOR, CHARLOTTESVILLE, VA 22908-2824
(434) 924-5321
(434) 982-3816
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101259234
VA
208000000X
Pediatrics Physician
35084829
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2505917
—
OH
Enumeration date
04/13/2006
Last updated
01/25/2017
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