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NPI Code Detail

MEDICARE: ELIZABETH REDMON

MEDICARE: ELIZABETH REDMON
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
1225700000XMassage TherapistMT014174GA

General Provider Information

NPI Number : 1245197946
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH REDMON
Provider Business Mailing Address
First Line : 406 CUMBERLAND SQ SE
Second Line :
City : SMYRNA
State : GA
Zip : 30080-7702
Country : US
Telephone Number : 518-221-5920
Fax Number :
Provider Business Practice Location Address
First Line : 3240 S COBB DR SE
Second Line :
City : SMYRNA
State : GA
Zip : 30080-4194
Country : US
Telephone Number : 943-291-1458
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/06/2026
Last Update Date : 01/06/2026

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Directions to “ ELIZABETH REDMON ” Practice Location

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