Redd, Douglas C.

Redd, Douglas C. is an individual health care provider with primary practice located at 5505 Peachtree Dunwoody Rd Ste 370 , Atlanta GA 30342-1713. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Other Service Providers / Specialist. Other Service Providers / Specialist is his primary health care specialty. Redd, Douglas C. can be contacted via phone (770) 538-1772.

Contact Information

Primary practice address
5505 Peachtree Dunwoody Rd Ste 370 Atlanta GA 30342-1713
Phone: (770) 538-1772
Fax: (770) 538-1773
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 32463 Georgia
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1205824497
LBN Legal business name Redd, Douglas C.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2005
Last updated Jul 21st, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205824497 NPPES
Georgia MEDICAID 000755972Q
Georgia Other 1609510
Georgia Other CA9328
Georgia MEDICAID 000755972L
Georgia Other 1460074

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