Reddick, Keisha L.B.
Reddick, Keisha L.B. is an individual health care provider with primary practice located at 4750 Waters Ave Suite 302, Savannah GA 31404-6200. She recently has only one registered license in Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, which is considered as her primary health care specialty. Reddick, Keisha L.B. can be contacted via phone (912) 350-5970.Contact Information
Primary practice address
4750 Waters Ave Suite 302
Savannah GA 31404-6200
Phone: (912) 350-5970
Fax: (912) 350-3374
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine | 207VM0101X | 37501 | South Carolina |
| Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine | 207VM0101X | 2007-00868 | North Carolina |
| Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine | 207VM0101X | 071860 | Georgia |
Profile Details
| NPI number | 1154532331 |
|---|---|
| LBN Legal business name | Reddick, Keisha L.B. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 27th, 2007 |
| Last updated | Jan 28th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154532331 | NPPES |
| Georgia | Other | P01321567 | RAILROAD MEDICARE |
| Georgia | MEDICAID | 003146294B | RAILROAD MEDICARE |
| Georgia | MEDICAID | 003146294A | RAILROAD MEDICARE |
| Georgia | MEDICAID | Q68007 | RAILROAD MEDICARE |
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