Redderson, Linda L

Redderson, Linda L is an individual health care provider with primary practice located at Holly Tree Family Practice 11338 Highway 14, Simpsonville SC 29681-5637. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Redderson, Linda L can be contacted via phone (864) 297-7091.

Contact Information

Primary practice address
Holly Tree Family Practice 11338 Highway 14 Simpsonville SC 29681-5637
Phone: (864) 297-7091
Fax: (864) 297-6335
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 16718 South Carolina

Profile Details

NPI number 1265402192
LBN Legal business name Redderson, Linda L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2006
Last updated Nov 21st, 2018 - about 6 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 1265402192 NPPES
South Carolina MEDICAID 167189
South Carolina MEDICAID GP2352

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