Healthcare Provider Details

I. General information

NPI: 1790958072
Provider Name (Legal Business Name): DEBBIE REDMOND-HYDER, DO, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/08/2008
Last Update Date: 04/08/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

475 PROVIDENCE MAIN ST NW SUITE 202
HUNTSVILLE AL
35806-4815
US

IV. Provider business mailing address

475 PROVIDENCE MAIN ST NW SUITE 202
HUNTSVILLE AL
35806-4815
US

V. Phone/Fax

Practice location:
  • Phone: 256-830-9600
  • Fax: 256-830-9588
Mailing address:
  • Phone: 256-830-9600
  • Fax: 256-830-9588

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. DEBBIE WYVETTE REDMOND-HYDER
Title or Position: OWNER
Credential: D.O.
Phone: 256-830-9600