Individual
DR. NATHANIEL DOUGLAS REDMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2301 MOODY PKWY, SUITE 9, MOODY, AL 35004-3012
(205) 640-0145
(205) 640-6002
Mailing address
2301 MOODY PKWY, SUITE 9, MOODY, AL 35004-3012
(205) 640-0145
(205) 640-6002
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
AL5213
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1539830
UNITED CONCORDIA ID
AL
01
—
515-17428
BLUE CROSS BLUE SHILD
AL
Enumeration date
05/03/2007
Last updated
07/08/2007
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