Organization
REDMOND PHYSICIAN PRACTICE COMPANY
Active
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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