Provider Demographics
NPI:1396734992
Name:REDDING, PASCHAL E III (MD)
Entity type:Individual
Prefix:
First Name:PASCHAL
Middle Name:E
Last Name:REDDING
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2700 10TH AVE S
Mailing Address - Street 2:SUITE 305
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35205-1200
Mailing Address - Country:US
Mailing Address - Phone:205-949-4660
Mailing Address - Fax:205-949-0281
Practice Address - Street 1:985 9TH AVENUE SOUTHWEST
Practice Address - Street 2:SUITE X01
Practice Address - City:BESSEMER
Practice Address - State:AL
Practice Address - Zip Code:35022
Practice Address - Country:US
Practice Address - Phone:205-481-7557
Practice Address - Fax:205-481-7560
Is Sole Proprietor?:No
Enumeration Date:2005-10-17
Last Update Date:2011-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL7681207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALB61025Medicare UPIN