| Doctor Name: | TOMMIE M RICHARDSON |
| NPI Number: | 1013006584 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 031313 |
| Business Practice Address: | 4015 S Cobb Dr #115 Smyrna, GA - 30080 |
| Business Phone Number: | 7704312354 |
| Business Fax Number: | 7704367143 |
| Mailing Address: | 4015 S Cobb Dr, #115 SMYRNA |
| State: | GA |
| Postal Code: | 30080 |
| Phone Number: | 7704312354 |
| Fax Number: | 7704367143 |
| NPI Enumeration Date: | 10/12/2006 |
| NPI Last Update Date: | 01/16/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 031313 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | GA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |