Reddix, Carl M

Reddix, Carl M is an individual health care provider with primary practice located at 5903 Ridgewood Road, Suite 310 Reddix Medical Group, Jackson MS 39211-3702. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as his primary health care specialty. Reddix, Carl M can be contacted via phone (601) 899-3310.

Contact Information

Primary practice address
5903 Ridgewood Road, Suite 310 Reddix Medical Group Jackson MS 39211-3702
Phone: (601) 899-3310
Fax: (601) 899-3314
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 12068 Mississippi

Profile Details

NPI number 1619981107
LBN Legal business name Reddix, Carl M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2006
Last updated Jul 8th, 2007 - about 18 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 1619981107 NPPES
Mississippi MEDICAID 00011019

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