Organization Name: | DR. CHRISTOPHER S RICHARDS MD LLC |
NPI Number: | 1831341775 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHRISTOPHER STERLING RICHARDS (OWNER/CEO) |
Mailing Address: | 506 S Dooly St Montezuma |
State: | GA US |
Postal Code: | 310631612 |
Phone Number: | 4784728672 |
Fax Number: | |
NPI Enumeration Date: | 10/22/2008 |
NPI Last Update Date: | 11/17/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 113167 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | GA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |