Organization
CORNER MEDICAL CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JIM W RICHARDS PHARM.D. (PRESIDENT)
(706) 695-0446
Entity
Organization
Contact information
Practice address
430 N 3RD AVE, CHATSWORTH, GA 30705-2540
(706) 695-0446
(706) 517-5157
Mailing address
PO BOX 99, 430 NORTH 3RD AVE, CHATSWORTH, GA 30705-0099
(706) 695-0446
(706) 517-5157
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
05/18/2009
Last updated
05/18/2009
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