Individual
NICOLE RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1968 PEACHTREE RD NW BLDG 775TH, ATLANTA, GA 30309-1281
(404) 605-4600
Mailing address
2727 PACES FERRY RD SE STE 1-1100, ATLANTA, GA 30339-6151
(470) 271-3418
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003180524A
—
GA
Enumeration date
07/14/2016
Last updated
09/25/2018
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