Individual
REDEN C DELGADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4900 IVEY RD NW STE 1301, ACWORTH, GA 30101-4112
(770) 975-9077
(770) 790-4964
Mailing address
2293 ROME HWY, ROCKMART, GA 30153-3577
(770) 684-0350
(770) 684-0302
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
65957
GA
207Q00000X
Family Medicine Physician
RD087681
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RD087681
STATE LICENSE
MI
Enumeration date
08/11/2006
Last updated
10/08/2019
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