Individual
DR. LINDA L REDDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
HOLLY TREE FAMILY PRACTICE, 11338 HIGHWAY 14, SIMPSONVILLE, SC 29681-5637
(864) 297-7091
(864) 297-6335
Mailing address
PO BOX 743294, ATLANTA, GA 30374-3294
(864) 855-2873
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
16718
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
167189
—
SC
05
—
GP2352
—
SC
Enumeration date
01/24/2006
Last updated
11/21/2018
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