Provider Demographics
NPI:1427158542
Name:WOODARD-REDMOND, AISHA OSEYE (MD)
Entity type:Individual
Prefix:DR
First Name:AISHA
Middle Name:OSEYE
Last Name:WOODARD-REDMOND
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:AISHA
Other - Middle Name:OSEYE
Other - Last Name:REDMOND
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:3495 PIEDMONT ROAD NE
Mailing Address - Street 2:NINE PIEDMONT CENTER
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30305
Mailing Address - Country:US
Mailing Address - Phone:404-364-7000
Mailing Address - Fax:
Practice Address - Street 1:3640 TRAMORE POINTE PARKWAY
Practice Address - Street 2:KAISER PERMANENT WEST COBB MEDICAL CENTER
Practice Address - City:AUSTELL
Practice Address - State:GA
Practice Address - Zip Code:30106
Practice Address - Country:US
Practice Address - Phone:770-514-5460
Practice Address - Fax:770-439-4712
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2008-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA052483207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAH98614Medicare UPIN