Dr. Debra M Reddick
Dental Public Health Dentist - General Practice
4458 Jonesboro Rd
Forest Park
, Georgia 30297-4314
Dr. Debra M Reddick
Dental Public Health Dentist - General Practice
4458 Jonesboro Rd
Forest Park
, Georgia 30297-4314
(908) 285-6051
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About
Features
Specialties
- Dental Public Health
- General Practice
Languages spoken
- English
Location
First Address
- Dr. Debra M Reddick
- 400 Players Ct
- Mcdonough, GA
- Zip : 30253-8810
- Phone : (908) 285-6051
Second Address
- Dr. Debra M Reddick
- 4458 Jonesboro Rd
- Forest Park, GA
- Zip : 30297-4314
- Phone : (470) 878-3512
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FAQs
Where did Dr. Debra M Reddick attend graduate school?
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What type of doctor is Dr. Debra M Reddick
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Is Dr. Debra M Reddick a sole practitioner?
Is Dr. Debra M Reddick accepting new patients?
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Does Dr. Debra M Reddick have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 1223D0001X | Dental Public Health | DN013060 | GA |
| N | 1223G0001X | General Practice | DN013060 | GA |
| N | 213EG0000X | General Practice | DN013060 | GA |
| Y | 1223G0001X | General Practice | DN013060 | GA |
| Y | 213EG0000X | General Practice | DN013060 | GA |
National Provider Identifier
| NPI | 1396710901 |
|---|---|
| Provider Name | Dr. Debra M Reddick |
| First Address | Mcdonough, GA 30253-8810 |
| Second Address | Forest Park, GA 30297-4314 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/02/2006 |
| Last Update Date | 21/07/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 545055622A | (05) | GA |
| 545055622B | (05) | GA |
| 9180174 | (05) | GA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.