NPI | 1235167982 |
---|---|
Doing Business As | REDAN HAIRSTON PEDIATRIC & ADULT MEDICINE, LLC |
Entity Type | Organization |
Authorized Contact | MARY CAMMACK Practice Manager 404-297-1818 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2006-06-30 |
Last Update Date | 2012-12-13 |