Redd, Shirlie Ann

Redd, Shirlie Ann is an individual health care provider with primary practice located at 1120 15Th St Room 2144, Augusta GA 30912-0004. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Redd, Shirlie Ann can be contacted via phone (706) 721-3873.

Contact Information

Primary practice address
1120 15Th St Room 2144 Augusta GA 30912-0004
Phone: (706) 721-3873
Fax: (706) 721-7763
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 032464 Georgia

Profile Details

NPI number 1750452439
LBN Legal business name Redd, Shirlie Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2006
Last updated Aug 26th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750452439 NPPES
Georgia Other 339274 WELLCARE CMO
Georgia MEDICAID 000409714C WELLCARE CMO
Georgia Other 048451 WELLCARE CMO
Georgia Other 050091610 WELLCARE CMO
Georgia MEDICAID G32464 WELLCARE CMO
Georgia Other 550789920 WELLCARE CMO
Georgia MEDICAID 000409714B WELLCARE CMO

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