Richardson, Deborah Kay

Richardson, Deborah Kay is an individual health care provider with primary practice located at 3651 Wheeler Rd , Augusta GA 30909-6521. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Richardson, Deborah Kay can be contacted via phone (706) 651-6544.

Contact Information

Primary practice address
3651 Wheeler Rd Augusta GA 30909-6521
Phone: (706) 651-6544
Fax: (706) 651-6158
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 25025 Georgia

Profile Details

NPI number 1407824865
LBN Legal business name Richardson, Deborah Kay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2006
Last updated Dec 3rd, 2007 - about 17 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 1407824865 NPPES
Georgia Other 52235752 BCBS
Georgia Other 345836 BCBS
Georgia MEDICAID 0004281068 BCBS
Georgia MEDICAID G25025 BCBS

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