| Dr Sam W Richwine Jr, M D | |
|
1296 Sims St, Suite B, Gainesville, GA 30501-3850 | |
| (770) 534-1856 | |
| (770) 531-0355 |
| Full Name | Dr Sam W Richwine Jr |
|---|---|
| Gender | Male |
| Speciality | Plastic Surgery |
| Location | 1296 Sims St, Gainesville, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386753564 | NPI | - | NPPES |
| 00193498D | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208200000X | Plastic Surgery | 019761 (Georgia) | Primary |
| Entity Name | Northeast Georgia Plastic Surgery |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306028238 PECOS PAC ID: 0840261095 Enrollment ID: O20040803001269 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Sam W Richwine Jr, M D 1296 Sims St, Suite B, Gainesville, GA 30501-3850 Ph: (770) 534-1856 | Dr Sam W Richwine Jr, M D 1296 Sims St, Suite B, Gainesville, GA 30501-3850 Ph: (770) 534-1856 |
Ed A. Abell, M. D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1296 Sims St Ste B, Gainesville, GA 30501 Phone: 770-534-1856 | |
Donald J Campbell, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1296 Sims St., Suite B, Gainesville, GA 30501 Phone: 770-534-1856 Fax: 770-531-0355 | |
Dr. Randy J. Buckspan, M.D. Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 9115 Kate Ct, Gainesville, GA 30506 Phone: 512-924-8126 | |
Kenneth Glen Walton, M. D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1296 Sims St, Suite B, Gainesville, GA 30501 Phone: 770-534-1856 | |
Vikram Reddy, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1296 Sims St Ste B, Gainesville, GA 30501 Phone: 770-534-1856 |