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REDAN HAIRSTON FAMILY MEDICINE NPI 1235167982


NPI Information

NPI: 1235167982
Provider Name: REDAN HAIRSTON FAMILY MEDICINE

Doing Business As: REDAN HAIRSTON PEDIATRIC & ADULT MEDICINE, LLC

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
8225 MALL PKWY
SUITE 250
LITHONIA, GA
ZIP 30038
Phone: (404) 297-1818
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REDAN HAIRSTON FAMILY MEDICINE is a family medicine in Lithonia, GA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. REDAN HAIRSTON FAMILY MEDICINE NPI is 1235167982. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Redan Hairston Pediatric & Adult Medicine, Llc.

The provider's business location address is:

8225 MALL PKWY
SUITE 250
LITHONIA, GA
ZIP 30038-994
Phone: (404) 297-1818
Fax: (404) 297-1629

The provider's authorized official is Mary Cammack .
The authorized official title is Practice Manager and has the following contact phone number (404) 297-1818.

The enumeration date for this NPI number is 6/30/2006 and was last updated on 12/13/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineGEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1=========OTHERGEORGIATAX ID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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