Rediclinic LLC
Organization Active NPI Clinic/Center · Marietta, GA
NPI 1124196670 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1124196670
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- Legal business name
- REDICLINIC LLC
- Practice address
- 2464 Roswell Rd
Marietta, GA 30062-4954 - Phone
- (713) 580-0450
- Fax
- (713) 358-4845
- NPI assigned
- Dec 1, 2006
- Organization subpart
- No
Authorized official
- Name
- Rick Vanpelt
- Title
- VP of Operations
- Phone
- (866) 935-0333
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Yes |
Addresses
Primary practice location
2464 Roswell Rd
Marietta, GA 30062-4954
Mailing address
18059 Crescent Royale Way
Humble, TX 77346-3467
Phone (866) 935-0333
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.