Shakisha T Redmond is a Medical in Newberry, South Carolina. Shakisha T Redmond practices all healthcare services and medical treatments related to Medical. The NPI Number for Shakisha T Redmond is 1881741890. The last update date is 2016-11-03.
Shakisha T Redmond's current location address is 2605 Kinard St, Newberry, South Carolina. You can contact this provider via phone number 8034051900 and fax number 8034051919. The mailing address for Shakisha T Redmond is 2605 Kinard St, Newberry, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shakisha T Redmond |
|---|---|
| Address | 2605 Kinard St, Newberry, South Carolina |
| Phone Number | 8034051900 |
| Fax Number | 8034051919 |
| Sole Proprietor | N |
| Credentials | PAC |
NPI Number Detail
| NPI Number | 1881741890 |
|---|---|
| Provider Enumeration Date | 2007-01-04 |
| Last Updated Date | 2016-11-03 |
Provider Mailing Address Detail
| Address | 2605 Kinard St |
|---|---|
| City | Newberry |
| State | South Carolina (SC) |
| Post Code | 291082967 |
| Phone Number | 8034051900 |
| Fax Number | 8034051919 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | A889 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1202PA | SC | -- |
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What is the unique identification code assigned to Shakisha T Redmond by the Centers for Medicare & Medicaid Services?
The Shakisha T Redmond has been issued the NPI (National Provider Identifier) 1881741890. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Shakisha T Redmond located?
The Shakisha T Redmond is located at 2605 Kinard St, Newberry, SC 291082967.
What is Shakisha T Redmond's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Shakisha T Redmond is Medical, and the taxonomy code that categorizes this field of expertise is 363Am0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1881741890 to Shakisha T Redmond?
The Shakisha T Redmond received its 1881741890 assignment from the Centers for Medicare & Medicaid Services on 2007-01-04.
As of what date were the details related to Shakisha T Redmond most recently updated or revised?
The information pertaining to Shakisha T Redmond, including its address, specialty, and other relevant details, was last updated or revised on 2016-11-03.
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