Individual
CHRISTOPHER RICHARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
201 POPLAR ST, IDEAL, GA 31041-6264
(478) 244-2866
(404) 478-8420
Mailing address
201 POPLAR ST, IDEAL, GA 31041-6264
(478) 244-2866
(404) 478-8420
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01057372
IN
207Q00000X
Family Medicine Physician
Primary
058316
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123048280A
—
GA
05
—
123048280F
—
GA
Enumeration date
05/17/2006
Last updated
10/02/2023
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