Individual
DR. JERRY MARK RICHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4200 NORTHSIDE PKWY NW BLDG 4-200, ATLANTA, GA 30327-3063
(404) 841-9500
(404) 841-0405
Mailing address
4101 ORCHARD LAKE CT SE, ATLANTA, GA 30339-4634
(770) 436-2848
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8907
GA
Other
Enumeration date
03/30/2007
Last updated
07/08/2007
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