| Redan Hairston Pediatric & Adult Medicine, Llc | |
|
8225 Mall Pkwy Suite 250 Lithonia GA 30038-6994 | |
| (404) 297-1818 | |
| (404) 297-1629 |
| Full Name | Redan Hairston Pediatric & Adult Medicine, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 8225 Mall Pkwy, Lithonia, Georgia |
| Authorized Official Name and Position | Mary Cammack (PRACTICE MANAGER) |
| Authorized Official Contact | 4042971818 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Redan Hairston Pediatric & Adult Medicine, Llc 8225 Mall Pkwy Suite 250 Lithonia GA 30038-6994 Ph: (404) 297-1818 | Redan Hairston Pediatric & Adult Medicine, Llc 8225 Mall Pkwy Suite 250 Lithonia GA 30038-6994 Ph: (404) 297-1818 |
| NPI Number | 1235167982 |
|---|---|
| Provider Enumeration Date | 06/30/2006 |
| Last Update Date | 12/13/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235167982 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Georgia) | Primary |
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