Provider Demographics
NPI:1003920331
Name:BIXBY-REDMAN, AMY (LM)
Entity Type:Individual
Prefix:MRS
First Name:AMY
Middle Name:
Last Name:BIXBY-REDMAN
Suffix:
Gender:F
Credentials:LM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 SALUDA LAKE RD # 1002
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29611-2462
Mailing Address - Country:US
Mailing Address - Phone:864-360-5276
Mailing Address - Fax:888-340-7874
Practice Address - Street 1:850 WADE HAMPTON BLVD
Practice Address - Street 2:BUILDING B-3 SUITE 102
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29609-4947
Practice Address - Country:US
Practice Address - Phone:864-360-5276
Practice Address - Fax:864-285-0583
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-17
Last Update Date:2020-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCLMW030176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife