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NPI Code Detail

MEDICARE: DEBBIE WYVETTE REDMOND-HYDER D.O.

MEDICARE: DEBBIE WYVETTE REDMOND-HYDER D.O.
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
1173000000XLegal MedicineD0353AL

General Provider Information

NPI Number : 1366442873
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBBIE WYVETTE REDMOND-HYDER D.O.
Provider Business Mailing Address
First Line : 475 PROVIDENCE MAIN ST NW
Second Line : STE 202
City : HUNTSVILLE
State : AL
Zip : 35806-4815
Country : US
Telephone Number : 256-830-9600
Fax Number : 256-830-9588
Provider Business Practice Location Address
First Line : 475 PROVIDENCE MAIN ST NW
Second Line : STE 202
City : HUNTSVILLE
State : AL
Zip : 35806-4815
Country : US
Telephone Number : 256-830-9600
Fax Number : 256-830-9588
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2005
Last Update Date : 07/08/2007

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