Individual
KEVIN P MCREDMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7 MEDICAL PARK RD, SUITE 203, COLUMBIA, SC 29203-6873
(803) 434-3533
(803) 434-3094
Mailing address
PO BOX 402145, ATLANTA, GA 30384-2145
(803) 296-7313
(803) 296-7330
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
15441
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TL4573
—
SC
Enumeration date
03/03/2006
Last updated
07/29/2009
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