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Organization

REDMOND PHYSICIAN PRACTICE COMPANY

Active
Other names
Redmond Urgent Care of Lindale
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CHUCK LOCKE (VICE PRESIDENT)
(615) 373-7604
Entity
Organization

Contact information

Practice address
3138 MAPLE RD SE, LINDALE, GA 30147-1309
(706) 291-4119
(706) 291-6866
Mailing address
3138 MAPLE RD SE, LINDALE, GA 30147-1309
(706) 291-4119
(706) 291-6866

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
10/18/2005
Last updated
12/10/2007
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