Rediclinic Services

Organization Active NPI Family Nurse Practitioner · Acworth, GA

NPI 1013066950 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1013066950
Entity type
Organization (NPI type 2)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
RN070078 (GA)
Legal business name
REDICLINIC SERVICES
Practice address
1762 Mars Hill Rd NW
Acworth, GA 30101-8091
Phone
(866) 935-0333
NPI assigned
Jan 9, 2007
Organization subpart
No

Authorized official

Name
Dr. Chris Kersey, M.D.
Title
Director
Phone
(866) 935-0333

Corporate family (same tax ID) 17

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Rediclinic LLC (18 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner
Group: 193400000X SINGLE SPECIALTY GROUP
363LF0000X RN070078 GA Yes

Addresses

Primary practice location

1762 Mars Hill Rd NW
Acworth, GA 30101-8091

Mailing address

9 E Greenway PLZ
Suite 2950
Houston, TX 77046-0905

Other providers in Acworth, GA

All providers in Acworth, GA · Family Nurse Practitioner in Georgia

Sources for this page

Verify at the official NPI Registry.