Richardson, Eddie
Richardson, Eddie is an sole proprietor health care provider with primary practice located at 114 Harmony Xing Ste 1 , Eatonton GA 31024-9546. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Adult Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Richardson, Eddie can be contacted via phone (706) 484-0884.Contact Information
Primary practice address
114 Harmony Xing Ste 1
Eatonton GA 31024-9546
Phone: (706) 484-0884
Fax: (706) 484-0885
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 24642 | South Carolina |
| Allopathic & Osteopathic Physicians / Adult Medicine | 207QA0505X | 052047 | Georgia |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 052047 | Georgia |
Profile Details
| NPI number | 1235107772 |
|---|---|
| LBN Legal business name | Richardson, Eddie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 10th, 2006 |
| Last updated | Feb 23rd, 2024 - about 9 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235107772 | NPPES |
| South Carolina | MEDICAID | T85360 |
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