Active NPI
Rediclinic US LLC
Doing business as RediClinic
- Clinic/Center
- Dahlonega, GA
National Provider Identifier
1487826111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- REDICLINIC US LLC
- Doing business as
- RediClinic
- Practice address
- 270 Walmart Way
Dahlonega, GA 30533-0824 - Phone
- (866) 607-7334
- NPI assigned
- Apr 2, 2008
- Organization subpart
- Yes
- Parent organization
- REDICLINIC, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Eric Fournet
- Title
- Cfo
- Phone
- (713) 580-9468
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
270 Walmart Way
Dahlonega, GA 30533-0824
Mailing address
9 Greenway PLZ
Suite 2950
Houston, TX 77046-0905
Phone (866) 607-7334
Other names 1
- RediClinic
National Provider Directory
National Provider Directory- Tax ID family
- Rediclinic
- Part of
- Rediclinic LLC
Other organizations with this tax ID 41
Organizations that report the same tax identification number in the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207094400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1223251200000",
"number": "1487826111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 GREENWAY PLZ",
"address_2": "SUITE 2950",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770460905",
"telephone_number": "866-607-7334",
"fax_number": "713-358-4801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "270 WALMART WAY",
"city": "DAHLONEGA",
"state": "GA",
"postal_code": "305330824",
"telephone_number": "866-607-7334"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REDICLINIC US LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "REDICLINIC, LLC",
"enumeration_date": "2008-04-02",
"last_updated": "2008-10-06",
"status": "A",
"authorized_official_last_name": "FOURNET",
"authorized_official_first_name": "ERIC",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "713-580-9468",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "RediClinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Dahlonega, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.