| Dr. Christopher S Richards MD LLC | |
|
506 S Dooly St Montezuma GA 31063-1612 | |
| (478) 472-8672 | |
| Not Available |
| Full Name | Dr. Christopher S Richards MD LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 506 S Dooly St, Montezuma, Georgia |
| Authorized Official Name and Position | Christopher Sterling Richards (OWNER/CEO) |
| Authorized Official Contact | 4784728672 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Christopher S Richards MD LLC Po Box 160 Montezuma GA 31063-0160 Ph: (478) 472-8672 | Dr. Christopher S Richards MD LLC 506 S Dooly St Montezuma GA 31063-1612 Ph: (478) 472-8672 |
| NPI Number | 1831341775 |
|---|---|
| Provider Enumeration Date | 10/22/2008 |
| Last Update Date | 11/17/2008 |
| Medicare PECOS PAC ID | 8628138609 |
|---|---|
| Medicare Enrollment ID | O20081120000465 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831341775 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 058316 (Georgia) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 113167 (Georgia) | Secondary |
| Provider Name | Christopher S Richards |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164475893 PECOS PAC ID: 3971509183 Enrollment ID: I20061011000563 |
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