Provider Demographics
NPI:1710181391
Name:REDDING, DAVID ROGERS (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:ROGERS
Last Name:REDDING
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3193 HOWELL MILL RD NW
Mailing Address - Street 2:STE 102
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30327-2119
Mailing Address - Country:US
Mailing Address - Phone:404-355-0078
Mailing Address - Fax:404-355-0079
Practice Address - Street 1:3193 HOWELL MILL RD NW
Practice Address - Street 2:STE 102
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30327-2119
Practice Address - Country:US
Practice Address - Phone:404-355-0078
Practice Address - Fax:404-355-0079
Is Sole Proprietor?:No
Enumeration Date:2007-06-14
Last Update Date:2011-08-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA61508207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology