Individual
DR. STEPHEN N RICHIE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
107 VALLEY RUN DR, BREMEN, GA 30110-2428
(770) 537-4446
(770) 537-0484
Mailing address
107 VALLEY RUN DR, BREMEN, GA 30110-2428
(770) 537-4446
(770) 537-0484
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN008145
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00047649A
—
GA
Enumeration date
01/03/2006
Last updated
07/08/2007
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