Redmond Physician Practice Company

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

REDMOND PHYSICIAN PRACTICE COMPANY

Doing business as

Redmond Family Care Center at Cedartown

Practice address

118 E Girard Ave
Suite 104
Cedartown, GA 30125-2778

Phone

(770) 749-1005

Fax

(770) 749-1119

NPI assigned

Oct 18, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Chuck Locke

Title

VP

Phone

(615) 373-7604

Specialties & licenses 1

Addresses

Other names 1

• Redmond Family Care Center at Cedartown Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197244800000",
    "number": "1962491381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 E GIRARD AVE",
            "address_2": "SUITE 104",
            "city": "CEDARTOWN",
            "state": "GA",
            "postal_code": "301252778",
            "telephone_number": "770-749-1005",
            "fax_number": "770-749-1119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 E GIRARD AVE",
            "address_2": "SUITE 104",
            "city": "CEDARTOWN",
            "state": "GA",
            "postal_code": "301252778",
            "telephone_number": "770-749-1005",
            "fax_number": "770-749-1119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDMOND PHYSICIAN PRACTICE COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-18",
        "last_updated": "2007-12-10",
        "status": "A",
        "authorized_official_last_name": "LOCKE",
        "authorized_official_first_name": "CHUCK",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "615-373-7604",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Redmond Family Care Center at Cedartown",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stacey Lynn Pullen, NP-C
• Robert Clinton Pyle, MD
• Micaela Quesada
• Ray Popham OD
• Redmond ER Services, Inc
• Steve Reischl
• Restoration Hope House Inc
• Richards Family Eyecare LLC
• Amy Michelle Rittenhouse
• Donna Robbins

• Internal Medicine Physician in Cedartown, GA
• Providers in Cedartown, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.