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Individual

DR. DAVID G REDDING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
4543 CHARLOTTE HWY STE 9, LAKE WYLIE, SC 29710-7057
(803) 701-7077
(803) 620-4812
Mailing address
4543 CHARLOTTE HWY STE 9, LAKE WYLIE, SC 29710-7057
(803) 701-7077
(803) 620-4812

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
3169
NC
111N00000X
Chiropractor
Primary
4080
SC
111N00000X
Chiropractor
X007233
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
18-1837267
BLUE CROSS BLUE SHIELD
SC
01
P010007233
BLUE CHOICE PROV ID
NY
01
P020007233
BLUECROSS BLUE SHIELD
NY
Enumeration date
12/12/2005
Last updated
04/04/2018
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