| Russ C Redd, DC | |
|
1269 S Main St, Wake Forest, NC 27587-9282 | |
| (919) 556-2014 | |
| (919) 556-0996 |
| Full Name | Russ C Redd |
|---|---|
| Gender | Male |
| Speciality | Chiropractic |
| Experience | 19 Years |
| Location | 1269 S Main St, Wake Forest, North Carolina |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245262328 | NPI | - | NPPES |
| 681277 | Other | NC | ACN |
| PHCS | Other | NC | 9400767 |
| 561294023 | Other | NC | TAX ID# |
| 085WC | Other | NC | BLUE CROSS BLUE SHIELD/NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 3405 (North Carolina) | Primary |
| Provider Name | Fred C. Nelson, Chiropractic Physician P.a. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1073682894 PECOS PAC ID: 4587684170 Enrollment ID: O20051128000715 |
| Provider Name | Russ C Redd Dc Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1316332307 PECOS PAC ID: 3678893807 Enrollment ID: O20150529000015 |
| Mailing Address | Practice Location Address |
|---|---|
| Russ C Redd, DC 1269 S Main St, Wake Forest, NC 27587-9282 Ph: (919) 556-2014 | Russ C Redd, DC 1269 S Main St, Wake Forest, NC 27587-9282 Ph: (919) 556-2014 |
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