Richardson, James Eric

Richardson, James Eric is an individual health care provider with primary practice located at 743 Spring St Ne , Gainesville GA 30501-3715. He recently has only one registered license in Allopathic & Osteopathic Physicians / Critical Care Medicine, which is considered as his primary health care specialty. Richardson, James Eric can be contacted via phone (770) 219-6018.

Contact Information

Primary practice address
743 Spring St Ne Gainesville GA 30501-3715
Phone: (770) 219-6018
Fax: (770) 219-6021
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 053601 Georgia

Profile Details

NPI number 1962571992
LBN Legal business name Richardson, James Eric
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 6th, 2006
Last updated Sep 25th, 2012 - about 12 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 1962571992 NPPES
Georgia Other PTAN # 202I051993 MEDICARE
Georgia MEDICAID 784588415H MEDICARE

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