Provider Demographics
NPI:1154491538
Name:REDINGTON, JAMES FRANKLIN (MD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:FRANKLIN
Last Name:REDINGTON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 490
Mailing Address - Street 2:
Mailing Address - City:MONTEREY
Mailing Address - State:VA
Mailing Address - Zip Code:24465-0490
Mailing Address - Country:US
Mailing Address - Phone:540-468-6400
Mailing Address - Fax:540-468-3301
Practice Address - Street 1:120 JACKSON RIVER RD
Practice Address - Street 2:
Practice Address - City:MONTEREY
Practice Address - State:VA
Practice Address - Zip Code:24465-2614
Practice Address - Country:US
Practice Address - Phone:540-468-6400
Practice Address - Fax:540-468-3301
Is Sole Proprietor?:No
Enumeration Date:2006-11-09
Last Update Date:2019-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA39753207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA005660106Medicaid
VA005660106Medicaid