Individual
RICHARD D. REDVANLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
700 E MOREHEAD ST, STE 300, CHARLOTTE, NC 28202-2788
(704) 334-7800
Mailing address
700 E MOREHEAD ST, STE 300, CHARLOTTE, NC 28202-2788
(704) 334-7800
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01302
NC
2085R0202X
Diagnostic Radiology Physician
031654
GA
2085R0202X
Diagnostic Radiology Physician
21356
SC
2085R0202X
Diagnostic Radiology Physician
ME0075779
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891226A
—
NC
Enumeration date
07/20/2005
Last updated
12/20/2017
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