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Individual

DR. RICHARD F. CAMINO GAZTAMBIDE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
997 SAINT SEBASTIAN WAY, AUGUSTA, GA 30912-2613
(706) 721-6597
(706) 721-6602
Mailing address
1499 WALTON WAY STE 1400, ATTN: D. RAIFORD, AUGUSTA, GA 30901-2603
(706) 828-8401
(706) 722-7235

Taxonomy

Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
070352
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0003136410
GA
01
070352
GEORGIA MEDICAL LICENSE
GA
Enumeration date
10/26/2007
Last updated
10/03/2016
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