Individual
MARK PETER REDDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2801 RANDOLPH RD STE 100, CHARLOTTE, NC 28211-1051
(704) 367-4800
(704) 316-3025
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 637-1779
(704) 637-1121
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
9600281
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
140004701
RAILROAD MEDICARE
—
05
—
8970730
—
NC
05
—
N00281
—
SC
Enumeration date
07/14/2005
Last updated
03/14/2023
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