Individual
STEWART RUSS RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1364 CLIFTON RD NE, ATLANTA, GA 30322-4607
(404) 712-2000
Mailing address
531 ASBURY CIR STE N340, ATLANTA, GA 30322-4607
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
96724
GA
Other
Enumeration date
06/23/2016
Last updated
08/30/2023
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