Manrique, Richard Leon

Manrique, Richard Leon is an individual health care provider with primary practice located at 1816 Eagle Dr Suite 200-B, Woodstock GA 30189-8272. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Manrique, Richard Leon can be contacted via phone (404) 822-5605.

Contact Information

Primary practice address
1816 Eagle Dr Suite 200-B Woodstock GA 30189-8272
Phone: (404) 822-5605
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 031286 Georgia
Allopathic & Osteopathic Physicians / General Practice 208D00000X 031286 Georgia

Profile Details

NPI number 1548299332
LBN Legal business name Manrique, Richard Leon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2006
Last updated Sep 21st, 2009 - 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 1548299332 NPPES
Georgia MEDICAID 000395216L

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