Reddaway, Jennifer Joyce

Reddaway, Jennifer Joyce is an individual health care provider with primary practice located at 2550 Windy Hill Rd Se Ste 307 , Marietta GA 30067-8655. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Reddaway, Jennifer Joyce can be contacted via phone (678) 486-1051.

Contact Information

Primary practice address
2550 Windy Hill Rd Se Ste 307 Marietta GA 30067-8655
Phone: (678) 486-1051
Fax: (770) 953-9474
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 3529 Georgia

Profile Details

NPI number 1639321151
LBN Legal business name Reddaway, Jennifer Joyce
Credentials AU.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 15th, 2008
Last updated Oct 15th, 2008 - about 17 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 1639321151 NPPES
Georgia Other 264610031A MEDICAID O & P NUMBER

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