Richard, Gary Michael

Richard, Gary Michael is an individual health care provider with primary practice located at 3651 Wheeler Rd , Augusta GA 30909-6521. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Richard, Gary Michael can be contacted via phone (706) 855-9860.

Contact Information

Primary practice address
3651 Wheeler Rd Augusta GA 30909-6521
Phone: (706) 855-9860
Fax: (706) 860-7124
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 029293 Georgia

Profile Details

NPI number 1265499776
LBN Legal business name Richard, Gary Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2006
Last updated Jan 15th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265499776 NPPES
South Carolina MEDICAID G29293
South Carolina MEDICAID 000505414C
South Carolina Other 10065573
South Carolina Other P00267043

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