Richwine, Sam W

Richwine, Sam W is an individual health care provider with primary practice located at 1296 Sims St Suite B, Gainesville GA 30501-3850. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Richwine, Sam W can be contacted via phone (770) 534-1856.

Contact Information

Primary practice address
1296 Sims St Suite B Gainesville GA 30501-3850
Phone: (770) 534-1856
Fax: (770) 531-0355
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 019761 Georgia

Profile Details

NPI number 1386753564
LBN Legal business name Richwine, Sam W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Jul 8th, 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 1386753564 NPPES
Georgia MEDICAID 00193498D

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