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ANTHONY MICHEAL REDDICK
NPI 1730876608
Physician Assistant in Camp Lejeune, NC

Active since April 20, 2023
212 WALLACE CREEK ROAD, CAMP LEJEUNE, NC 28547(910) 449-8879 Get Directions Write a Review

NPPES record last updated: December 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 19, 2024, Oct 4, 2024 (2 updates tracked since 2024).

About Anthony Micheal Reddick NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANTHONY MICHEAL REDDICK (NPI 1730876608) is an individual physician assistant in Camp Lejeune, North Carolina, licensed in Missouri (2024021639) and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1730876608
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameANTHONY MICHEAL REDDICK
Location Address212 WALLACE CREEK ROADCamp Lejeune, NC 28547
Mailing Address212 Wallace Creek RoadCamp Lejeune, NC 28547 · (910) 449-8879
Phone(910) 449-8879
Sole ProprietorNo
Enumeration DateApril 20, 2023
Last NPPES UpdateDecember 19, 20242 updates tracked since enumeration
NPPES CertifiedDecember 16, 2024
✔ NPI 1730876608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MO · 2024021639
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
212 WALLACE CREEK ROAD, Camp Lejeune, NC 28547
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Anthony Reddick's NPI number?

The NPI number for Anthony Reddick is 1730876608. It was assigned to this individual provider in the NPPES registry on April 20, 2023.

Where is Anthony Reddick located?

Anthony Reddick practices at 212 Wallace Creek Road, Camp Lejeune, NC 28547. The listed phone number is (910) 449-8879.

What is Anthony Reddick's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Anthony Reddick was last updated on December 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.