Individual
MICHAEL DAVID REDMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
223 STONERIDGE DR, COLUMBIA, SC 29210-8049
(803) 296-2414
(803) 296-2400
Mailing address
PO BOX 402145, ATLANTA, GA 30384-2145
(803) 296-7305
(803) 296-7330
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
14236
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142367
—
SC
01
—
564
BCBS SUFFIX GROUP
SC
Enumeration date
08/11/2005
Last updated
09/28/2010
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