MEDICARE: REDMOND PHYSICIANS PRACTICE CO. II

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	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1770572166
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REDMOND PHYSICIANS PRACTICE CO. II

Provider Business Mailing Address
First Line	:	5470 MARTHA BERRY HWY
Second Line	:
City	:	ARMUCHEE
State	:	GA
Zip	:	30105-2302
Country	:	US
Telephone Number	:	706-235-1156
Fax Number	:	706-291-9391

Provider Business Practice Location Address
First Line	:	5470 MARTHA BERRY HWY
Second Line	:
City	:	ARMUCHEE
State	:	GA
Zip	:	30105-2302
Country	:	US
Telephone Number	:	706-235-1156
Fax Number	:	706-291-9391

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MR. PATRICK BIRMINGHAM
Credential	:
Telephone Number	:	615-373-7625

Provider Enumeration Date	:	10/18/2005
Last Update Date	:	08/22/2020

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