Rivera, Richard Gil
Rivera, Richard Gil is an individual health care provider with primary practice located at 3369 Buford Hwy Ne Suite 810, Brookhaven GA 30329-3722. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Rivera, Richard Gil can be contacted via phone (404) 321-4692.Contact Information
Primary practice address
3369 Buford Hwy Ne Suite 810
Brookhaven GA 30329-3722
Phone: (404) 321-4692
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 3833 | Georgia |
Profile Details
| NPI number | 1548226525 |
|---|---|
| LBN Legal business name | Rivera, Richard Gil |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 26th, 2006 |
| Last updated | Oct 27th, 2021 - about 5 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 | 1548226525 | NPPES |
| Georgia | Other | 3833 | LICENSE |
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