Redding, Evelyn O'Leary
Redding, Evelyn O'Leary is an individual health care provider with primary practice located at 65 Old Jackson Road , Mcdonough GA 30252. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Redding, Evelyn O'Leary can be contacted via phone (678) 490-0080.Contact Information
Primary practice address
65 Old Jackson Road
Mcdonough GA 30252
Phone: (678) 490-0080
Fax: (678) 490-0091
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | RN054604 | Georgia |
Profile Details
| NPI number | 1114969250 |
|---|---|
| LBN Legal business name | Redding, Evelyn O'Leary |
| Credentials | FNP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 12th, 2006 |
| Last updated | Jun 9th, 2010 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114969250 | NPPES |
| Georgia | MEDICAID | 000802832E |
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