Richardson, Homer Allen

Richardson, Homer Allen is an individual health care provider with primary practice located at 2701 North Decatur Road , Decatur GA 30033. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Richardson, Homer Allen can be contacted via phone (404) 501-1849.

Contact Information

Primary practice address
2701 North Decatur Road Decatur GA 30033
Phone: (404) 501-1849
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 49993 Georgia

Profile Details

NPI number 1740230721
LBN Legal business name Richardson, Homer Allen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2006
Last updated Oct 25th, 2013 - about 11 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 1740230721 NPPES
Kentucky MEDICAID 7100224220
Kentucky Other 000000799022
Kentucky Other P01209417

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