Individual
MS. ASTIN ALYSE REDDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3240 NORTHEAST EXPY NE, ATLANTA, GA 30341-4003
(404) 480-9330
Mailing address
47 CHEROKEE FAIRWAYS, CEDARTOWN, GA 30125-4355
(770) 324-4670
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
11568
GA
Other
Enumeration date
05/17/2023
Last updated
05/17/2023
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