Individual
MR. JOHN BRAXTON REDDING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1499 FAIR RD, STATESBORO, GA 30458-1683
(912) 486-1973
(912) 681-4184
Mailing address
PO BOX 73709, NEWNAN, GA 30271-3709
(770) 251-2060
(678) 854-9235
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN195323
GA
Other
Enumeration date
02/14/2013
Last updated
01/29/2018
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