Richardson, Augustus Cullen
Richardson, Augustus Cullen is an individual health care provider with primary practice located at 605 N Westover Blvd , Albany GA 31707-2188. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Richardson, Augustus Cullen can be contacted via phone (229) 434-4200.Contact Information
Primary practice address
605 N Westover Blvd
Albany GA 31707-2188
Phone: (229) 434-4200
Fax: (229) 434-4208
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 022464 | Georgia |
Profile Details
| NPI number | 1659368371 |
|---|---|
| LBN Legal business name | Richardson, Augustus Cullen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 29th, 2005 |
| Last updated | Jun 2nd, 2016 - about 10 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 | 1659368371 | NPPES |
| Georgia | MEDICAID | 00300616B |
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