Provider Demographics
NPI:1790958072
Name:DEBBIE REDMOND-HYDER, DO, PC
Entity Type:Organization
Organization Name:DEBBIE REDMOND-HYDER, DO, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DEBBIE
Authorized Official - Middle Name:WYVETTE
Authorized Official - Last Name:REDMOND-HYDER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:256-830-9600
Mailing Address - Street 1:475 PROVIDENCE MAIN ST NW
Mailing Address - Street 2:SUITE 202
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35806-4815
Mailing Address - Country:US
Mailing Address - Phone:256-830-9600
Mailing Address - Fax:256-830-9588
Practice Address - Street 1:475 PROVIDENCE MAIN ST NW
Practice Address - Street 2:SUITE 202
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35806-4815
Practice Address - Country:US
Practice Address - Phone:256-830-9600
Practice Address - Fax:256-830-9588
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-08
Last Update Date:2008-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL1366442873OtherNPI
AL1598959199OtherNPI