Individual
RICHARD A OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
855 AUSTIN DR, DEMOREST, GA 30535-4513
(706) 754-8339
(706) 754-8460
Mailing address
PO BOX 657, DEMOREST, GA 30535-0657
(706) 754-8339
(706) 754-8460
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
029924
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000355044H
—
GA
Enumeration date
05/27/2005
Last updated
04/08/2015
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