Organization
LOVETT P REDDICK MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOVETT P REDDICK MD (PRESIDENT)
(423) 247-8104
Entity
Organization
Contact information
Practice address
2008 BROOKSIDE DRIVE, SUITE 202, KINGSPORT, TN 37660-4604
(423) 247-8104
(423) 247-9732
Mailing address
2008 BROOKSIDE DRIVE, SUITE 202, KINGSPORT, TN 37660-4604
(423) 247-8104
(423) 247-9732
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
MD11963
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3182118
—
TN
Enumeration date
08/29/2007
Last updated
08/29/2007
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