Charles Conrad Redeker JR. M.D.

NPI 1831219674 - Emergency Medical Technician, Basic - 146N00000X

NPI Details
NPI 1831219674
Gender Male
Enumeration Date 03/29/2007
Last Updated 09/25/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
325 WESTERN BLVD
JACKSONVILLE NC, 28546-6341, US
Phone (910) 577-1555
Fax (910) 577-1841
Business Location
325 WESTERN BLVD
JACKSONVILLE NC, 28546-6341, US
Phone (910) 577-1555
Fax (910) 577-1841
Toxanomy
Taxonomy Code 146N00000X
License State North Carolina
License Number 9300293
Remove 1831219674 NPI Number
 

According to our database, Dr. Charles Conrad Redeker JR. M.D. NPI is 1831219674, taxonomy code is 146N00000X and license number is 9300293, license state is located at North Carolina. Charles Conrad Redeker JR. M.D. physically located at 325 Western Blvd, Jacksonville NC, 28546-6341. NPI Number Charles Conrad Redeker JR. M.D. has the Individual type.

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1831219674 NPI number is provided on an as is basis without warranty of any kind. 1831219674 is maintained by the National Plan & Provider Enumeration System. The contents of Charles Conrad Redeker JR. M.D. are for informational purposes only.