Richards, Peter S

Richards, Peter S is an individual health care provider with primary practice located at 8954 Hospital Dr , Douglasville GA 30134-2272. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Richards, Peter S can be contacted via phone (770) 792-5249.

Contact Information

Primary practice address
8954 Hospital Dr Douglasville GA 30134-2272
Phone: (770) 792-5249
Fax: (770) 792-1470
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 056757 Georgia

Profile Details

NPI number 1366432544
LBN Legal business name Richards, Peter S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2005
Last updated Sep 25th, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366432544 NPPES
Georgia MEDICAID 254237316D

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