Individual
MR. RICHARD WAYNE SARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PC
Contact information
Practice address
190 HOSPITAL CIRCLE, BLAIRSVILLE, GA 30512
(706) 745-3333
(706) 745-7188
Mailing address
PO BOX 1907, BLAIRSVILLE, GA 30514
(706) 745-3333
(706) 745-7188
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
024081
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00289891C
—
GA
Enumeration date
09/01/2006
Last updated
11/05/2007
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