Individual
MS. MARIA TERESA RICHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
300 W HOSPITAL RD, FORT GORDON, GA 30905-5741
(706) 727-2720
(706) 787-8176
Mailing address
300 W HOSPITAL RD, FORT GORDON, GA 30905-5741
(706) 727-2720
(706) 787-8176
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
12/14/2006
Last updated
07/08/2007
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