DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: REDICLINIC LLC

MEDICARE: REDICLINIC LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261Q00000XClinic/Center

General Provider Information

NPI Number : 1124196670
Entity Type Code : Organization
Provider Name (Legal Business Name) : REDICLINIC LLC
Provider Business Mailing Address
First Line : 18059 CRESCENT ROYALE WAY
Second Line :
City : HUMBLE
State : TX
Zip : 77346-3467
Country : US
Telephone Number : 866-935-0333
Fax Number : 713-935-9353
Provider Business Practice Location Address
First Line : 2464 ROSWELL RD
Second Line :
City : MARIETTA
State : GA
Zip : 30062-4954
Country : US
Telephone Number : 713-580-0450
Fax Number : 713-358-4845
Authorized Official
Title or Position : VP OF OPERATIONS
Name : RICK VANPELT
Credential :
Telephone Number : 866-935-0333
Provider Enumeration Date : 12/01/2006
Last Update Date : 08/22/2020

Similar Medicare Providers

1578578779 — WALGREEN CO
Practice Location Address:
2464 ROSWELL RD
MARIETTA, GA
30062-4954
Practice Phone: 678-560-4781
Practice Fax:
1427005354 — SUSAN E. AUSTIN NP
Practice Location Address:
2464 ROSWELL RD
MARIETTA, GA
30062-4954
Practice Phone: 678-732-1500
Practice Fax:
1891854303 — DEBORAH A BREWER NP
Practice Location Address:
2464 ROSWELL RD
MARIETTA, GA
30062-4954
Practice Phone: 478-955-6999
Practice Fax:
1255612297 — MS. JEANNE MARIE FRENCH RPH
Practice Location Address:
2464 ROSWELL RD
MARIETTA, GA
30062-4954
Practice Phone: 678-560-4781
Practice Fax: 678-560-4785
1356622971 — MR. WILLIAM CHARLIES SMITH
Practice Location Address:
2464 ROSWELL RD
MARIETTA, GA
30062-4954
Practice Phone: 678-560-4781
Practice Fax: 678-560-4785
1528340262 — NICHOLAS FOSU PHAMD
Practice Location Address:
2464 ROSWELL RD
MARIETTA, GA
30062-4954
Practice Phone: 678-560-4781
Practice Fax: 678-455-7769

Directions to “REDICLINIC LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.