Rediclinic LLC
Clinic/Center in Lawrenceville, GA. Organization (NPI-2).
NPI number1245308600
StatusActive
Last updated in NPPESMar 4, 2008
Details
- NPI
- 1245308600
- Entity type
- Organization (NPI-2)
- Legal business name
- Rediclinic LLC
- Organization subpart
- No
- Enumeration date
- Dec 1, 2006
- Last updated
- Mar 4, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
Practice location
181 S Clayton StLawrenceville, GA 30045-5716
Phone 713-935-0333
Mailing address
9 Greenway PlzSuite 2950
Houston, TX 77046-0905
Phone 866-935-0333 · Fax 713-358-4801
Authorized official
Rick Vanpelt
Coo
8669350333
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All 16 Clinic/Center providers in Lawrenceville · All 5,967 providers in Lawrenceville
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