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REDMOND PHYSICIAN PRACTICE COMPANY NPI 1902960719


NPI Information

NPI: 1902960719
Provider Name: REDMOND PHYSICIAN PRACTICE COMPANY

Doing Business As: RANDOLPH P SUMNER MD FAMILY MEDICINE

Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
100 JOHN MADDOX DR NW
ROME, GA
ZIP 30165
Phone: (706) 290-9222
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REDMOND PHYSICIAN PRACTICE COMPANY is a pediatrics in Rome, GA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. REDMOND PHYSICIAN PRACTICE COMPANY NPI is 1902960719. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Randolph P Sumner Md Family Medicine.

The provider's business location address is:

100 JOHN MADDOX DR NW
ROME, GA
ZIP 30165-431
Phone: (706) 290-9222
Fax: (706) 290-0045

The provider's authorized official is Chuck Locke .
The authorized official title is Vp and has the following contact phone number (615) 373-7600.

The enumeration date for this NPI number is 12/19/2006 and was last updated on 12/10/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1CB6391MEDICARE PIN
2GRP2870MEDICARE PINGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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