Susan Barbara Redge MD

NPI 1710906805 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1710906805
Gender Female
Enumeration Date 07/19/2006
Last Updated 02/07/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
164 WACCAMAW MEDICAL PARK DR
CONWAY SC, 29526-8903, US
Phone (843) 347-5060
Fax
Business Location
1102 OSPREY CT
MURRELLS INLET SC, 29576-8702, US
Phone (843) 651-2150
Fax
Toxanomy
Taxonomy Code 2084P0800X
License State Michigan
License Number 4301072829
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According to our database, Susan Barbara Redge MD NPI is 1710906805, taxonomy code is 2084P0800X and license number is 4301072829, license state is located at Michigan. Susan Barbara Redge MD physically located at 164 Waccamaw Medical Park Dr, Conway SC, 29526-8903. NPI Number Susan Barbara Redge MD has the Individual type.

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1710906805 NPI number is provided on an as is basis without warranty of any kind. 1710906805 is maintained by the National Plan & Provider Enumeration System. The contents of Susan Barbara Redge MD are for informational purposes only.