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Individual

ROBERT LAWRENCE RICHARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1120 PEACHTREE INDUSTRIAL BLVD, SUWANEE, GA 30024-2013
(678) 207-4620
(678) 207-4619
Mailing address
PO BOX 658, GAINESVILLE, GA 30503-0658
(770) 718-1122
(770) 533-4786

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
050992
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0009481091
GA
05
000948109C
GA
05
000948109D
GA
05
000948109E
GA
05
000948109F
GA
05
000948109H
GA
05
000948109J
GA
05
000948109K
GA
05
000948109L
GA
05
000948109M
GA
05
000948109N
GA
05
000948109O
GA
01
01344195
AMERIGROUP
GA
01
110029C003330
TRAILBLAZER HEALTH ENTERPRISES
GA
01
1114938172
TRICARE CERTIFIED
GA
01
12483797
MULTIPLAN
GA
01
348302
WELLCARE
GA
01
52895966
BCBS
GA
01
582117020002
TRICARE CERTIFIED
GA
01
582117020056
TRICARE CERTIFIED
GA
01
7573710
CIGNA
GA
01
7651335
CARE IMPROVEMENT PLUS
GA
01
P01342975
PALMETTO GBA RAILROAD MEDICARE
GA
Enumeration date
08/11/2006
Last updated
06/14/2024
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