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Contact Information

EVELYN O REDDING, FNP-C
65 OLD JACKSON ROAD
MCDONOUGH, GA30252
 Phone: 678-490-0080
 Fax: 678-490-0091
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for EVELYN O REDDING · (Female)

NPI # 1114969250
Status Active
Credentials FNP-C (Family Nurse Practitioner, Certified)
Entity Individual
Enumeration date 06/12/2006
Last updated 06/09/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • GA License # RN054604
  • GA Medicaid 000802832E
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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