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Individual

GEORGIANNA M RICHARDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
415 CARRIAGE DR, BECKLEY, WV 25801-2805
(304) 894-8975
Mailing address
415 CARRIAGE DR, BECKLEY, WV 25801-2805
(304) 894-8975
(304) 894-8976

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
0101242855
VA
2084N0400X
Neurology Physician
Primary
24287
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1043489776
VA
01
1720314677
GROUP NPI
VA
Enumeration date
02/27/2008
Last updated
07/21/2022
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