Lovett P Reddick Md Pc

LBN: Lovett P Reddick Md Pc
Lovett P Reddick Md Pc is an health care organization with primary practice located at 2008 Brookside Drive Suite 202, Kingsport TN 37660-4604. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as the primary health care specialty. Lovett P Reddick Md Pc can be contacted via phone (423) 247-8104, or through Reddick, Lovett P via phone (423) 247-8104.

Contact Information

Primary practice address
2008 Brookside Drive Suite 202 Kingsport TN 37660-4604
Phone: (423) 247-8104
Fax: (423) 247-9732
Website:
Map and Directions
Authorized official contact:
Name: Reddick, Lovett P Doctor of Medicine (MD)
Phone: (423) 247-8104

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X MD11963 Tennessee

Profile Details

NPI number 1376737791
LBN Legal business name Lovett P Reddick Md Pc
DBA Doing business as
Authorized official Reddick, Lovett P Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 29th, 2007
Last updated Aug 29th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376737791 NPPES
Tennessee MEDICAID 3182118

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