Individual
DR. JENNIFER JOYCE REDDAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
2550 WINDY HILL RD SE STE 307, MARIETTA, GA 30067-8655
(678) 486-1051
(770) 953-9474
Mailing address
2550 WINDY HILL RD SE STE 307, MARIETTA, GA 30067-8655
(678) 486-1051
(770) 953-9474
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
3529
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
264610031A
MEDICAID O & P NUMBER
GA
Enumeration date
10/15/2008
Last updated
10/15/2008
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