Organization
REDMOND PHYSICIAN PRACTICE COMPANY
Active
Other names
Redmond Family Care Center at Cedartown
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHUCK LOCKE (VP)
(615) 373-7604
Entity
Organization
Contact information
Practice address
118 E GIRARD AVE, SUITE 104, CEDARTOWN, GA 30125-2778
(770) 749-1005
(770) 749-1119
Mailing address
118 E GIRARD AVE, SUITE 104, CEDARTOWN, GA 30125-2778
(770) 749-1005
(770) 749-1119
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
10/18/2005
Last updated
12/10/2007
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