| Russ C Redd Dc Pllc | |
|
10405 Ligon Mill Rd Ste F, Wake Forest, NC 27587-5013 | |
| (919) 556-2014 | |
| Not Available |
| Full Name | Russ C Redd Dc Pllc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 10405 Ligon Mill Rd Ste F, Wake Forest, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316332307 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 3405 (North Carolina) | Primary |
| Provider Name | Russ C Redd |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1245262328 PECOS PAC ID: 5395765986 Enrollment ID: I20051130000150 |
| Mailing Address | Practice Location Address |
|---|---|
| Russ C Redd Dc Pllc 10405 Ligon Mill Rd Ste F, Wake Forest, NC 27587-5013 Ph: (919) 556-2014 | Russ C Redd Dc Pllc 10405 Ligon Mill Rd Ste F, Wake Forest, NC 27587-5013 Ph: (919) 556-2014 |
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