Provider Demographics
NPI:1972993723
Name:REDDING, ARTHUR (RPH)
Entity type:Individual
Prefix:
First Name:ARTHUR
Middle Name:
Last Name:REDDING
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12246 COLUMBIA ST
Mailing Address - Street 2:
Mailing Address - City:BLAKELY
Mailing Address - State:GA
Mailing Address - Zip Code:39823-2559
Mailing Address - Country:US
Mailing Address - Phone:229-723-5202
Mailing Address - Fax:229-723-5521
Practice Address - Street 1:12246 COLUMBIA ST
Practice Address - Street 2:
Practice Address - City:BLAKELY
Practice Address - State:GA
Practice Address - Zip Code:39823-2559
Practice Address - Country:US
Practice Address - Phone:229-723-5202
Practice Address - Fax:229-723-5521
Is Sole Proprietor?:No
Enumeration Date:2015-02-02
Last Update Date:2015-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA12217183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist