Richendollar, Bill G
Richendollar, Bill G is an individual health care provider with primary practice located at 2701 N Decatur Rd , Decatur GA 30033-5918. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Richendollar, Bill G can be contacted via phone (404) 292-3500.Contact Information
Primary practice address
2701 N Decatur Rd
Decatur GA 30033-5918
Phone: (404) 292-3500
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Hematology | 207ZH0000X | 63803 | Georgia |
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 63803 | Georgia |
Profile Details
NPI number | 1306012554 |
---|---|
LBN Legal business name | Richendollar, Bill G |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 7th, 2008 |
Last updated | Nov 6th, 2018 - about 6 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1306012554 | NPPES |
Georgia | MEDICAID | 329590015B | |
Georgia | MEDICAID | 329590015A | |
Georgia | MEDICAID | 329590015C |
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