Provider Demographics
NPI:1669412540
Name:REDMOND, ANGELA HELMS (MD)
Entity type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:HELMS
Last Name:REDMOND
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1112 GENE REED RD
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35235-2405
Mailing Address - Country:US
Mailing Address - Phone:205-836-6580
Mailing Address - Fax:205-833-8406
Practice Address - Street 1:520 SIMMONS DR
Practice Address - Street 2:
Practice Address - City:TRUSSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35173-2367
Practice Address - Country:US
Practice Address - Phone:205-661-4680
Practice Address - Fax:205-212-7102
Is Sole Proprietor?:No
Enumeration Date:2006-06-07
Last Update Date:2018-10-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AL00024457208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
H63042Medicare UPIN