Individual
DR. RICHARD ERIC PAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2340 PATRICK HENRY PKWY, STE 100, MCDONOUGH, GA 30253-4214
(770) 474-1260
(770) 474-9395
Mailing address
2340 PATRICK HENRY PKWY, STE 100, MCDONOUGH, GA 30253-4214
(770) 474-1260
(770) 474-9395
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
11236
GA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
11236
GA
Other
Enumeration date
06/23/2005
Last updated
03/30/2020
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