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Russ C. Redd, DC
Chiropractor in Wake Forest, North Carolina
NPI 1245262328

Russ C. Redd is a Chiropractor based in Wake Forest, NC. Russ C. Redd practices in Wake Forest, NC and has the professional credentials of DC. The NPI Number for Russ C. Redd is 1245262328 and holds a License No. 3405 (North Carolina).

The current practice location address for Russ C. Redd is 1269 S Main St, Wake Forest, NC and can be reached out via phone at 919-556-2014 and via fax at 919-556-0996.

Location: 1269 S Main St, Wake Forest, NC, 27587-9282
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245262328
Provider Name
Russ C. Redd
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
1269 S Main St, Wake Forest, NC, 27587-9282
Phone Number
919-556-2014
Fax Number
919-556-0996
Provider Enumeration Date
07/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
681277 01 NC ACN
PHCS 01 NC 9400767
561294023 01 NC TAX ID#
085WC 01 NC BLUE CROSS BLUE SHIELD/NC
institution
Provider Business Practice Location Address Details
Address
1269 S Main St
City
Wake Forest
State
North Carolina
Zip
27587-9282
Phone Number
919-556-2014
Fax Number
919-556-0996
person
Provider Business Mailing Address Details
Address
1269 S Main St
City
Wake Forest
State
North Carolina
Zip
27587-9282
Phone Number
919-556-2014
Fax Number
919-556-0996
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
3405 (North Carolina)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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