Fontimayor, Richard John Philip

Fontimayor, Richard John Philip is an sole proprietor health care provider with primary practice located at 3651 Wheeler Rd , Augusta GA 30909-6521. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Fontimayor, Richard John Philip can be contacted via phone (706) 651-3232.

Contact Information

Primary practice address
3651 Wheeler Rd Augusta GA 30909-6521
Phone: (706) 651-3232
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 7785 Georgia

Profile Details

NPI number 1932571676
LBN Legal business name Fontimayor, Richard John Philip
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 21st, 2015
Last updated Oct 21st, 2015 - 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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