Richardson, Ghari N
Richardson, Ghari N is an individual health care provider with primary practice located at 4625 Rain Wood Cir , Valdosta GA 31602-0835. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Richardson, Ghari N can be contacted via phone (229) 244-3530.Contact Information
Primary practice address
4625 Rain Wood Cir
Valdosta GA 31602-0835
Phone: (229) 244-3530
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 207959-1 | New York |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 059948 | Georgia |
Profile Details
| NPI number | 1306859020 |
|---|---|
| LBN Legal business name | Richardson, Ghari N |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 14th, 2006 |
| Last updated | Jun 13th, 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 | 1306859020 | NPPES |
| Georgia | MEDICAID | 134304244B | |
| Georgia | MEDICAID | 134304244C |
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