Individual
MRS. STEVIE MICHELLE REDMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
1350 WALTON WAY, AUGUSTA, GA 30901-2612
(707) 774-7022
(706) 774-7023
Mailing address
1350 WALTON WAY, AUGUSTA, GA 30901-2612
(707) 774-7022
(706) 774-7023
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
006016
GA
Other
Enumeration date
12/10/2010
Last updated
03/04/2011
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