Provider Demographics
NPI:1457820433
Name:REDDISH, CATHERINE (MBA, BSHA, GA, CEU)
Entity Type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:
Last Name:REDDISH
Suffix:
Gender:F
Credentials:MBA, BSHA, GA, CEU
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:245 HANCOCK RD
Mailing Address - Street 2:
Mailing Address - City:AIKEN
Mailing Address - State:SC
Mailing Address - Zip Code:29801
Mailing Address - Country:US
Mailing Address - Phone:803-649-7348
Mailing Address - Fax:803-642-7857
Practice Address - Street 1:640 OLD AIRPORT RD STE 105
Practice Address - Street 2:
Practice Address - City:AIKEN
Practice Address - State:SC
Practice Address - Zip Code:29801-5034
Practice Address - Country:US
Practice Address - Phone:803-480-0260
Practice Address - Fax:803-961-7054
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-19
Last Update Date:2024-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health