MEDICARE: PASCHAL E REDDING III MD

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
1	207RC0000X	Cardiovascular Disease Physician	7681	AL

General Provider Information

NPI Number	:	1396734992
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PASCHAL E REDDING III MD

Provider Business Mailing Address
First Line	:	2700 10TH AVE S
Second Line	:	SUITE 305
City	:	BIRMINGHAM
State	:	AL
Zip	:	35205-1200
Country	:	US
Telephone Number	:	205-949-4660
Fax Number	:	205-949-0281

Provider Business Practice Location Address
First Line	:	985 9TH AVENUE SOUTHWEST
Second Line	:	SUITE X01
City	:	BESSEMER
State	:	AL
Zip	:	35022
Country	:	US
Telephone Number	:	205-481-7557
Fax Number	:	205-481-7560

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/17/2005
Last Update Date	:	01/21/2011

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