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:
Health care specialties
Specialty | Code | License # | 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 18 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 | 1386753564 | NPPES |
Georgia | MEDICAID | 00193498D |
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