Organization
REDAN HAIRSTON FAMILY MEDICINE
Active
Other names
Redan Hairston Pediatric & Adult Medicine, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MARY CAMMACK (PRACTICE MANAGER)
(404) 297-1818
Entity
Organization
Contact information
Practice address
8225 MALL PKWY, SUITE 250, LITHONIA, GA 30038-6994
(404) 297-1818
(404) 297-1629
Mailing address
8225 MALL PKWY, SUITE 250, LITHONIA, GA 30038-6994
(404) 297-1818
(404) 297-1629
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
GA
Other
Enumeration date
06/30/2006
Last updated
12/13/2012
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