Individual
EDDIE RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
114 HARMONY XING STE 1, EATONTON, GA 31024-9546
(706) 484-0884
(706) 484-0885
Mailing address
114 HARMONY XING STE 1, EATONTON, GA 31024-9546
(706) 484-0884
(706) 484-0885
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
24642
SC
207Q00000X
Family Medicine Physician
Primary
052047
GA
207QA0505X
Adult Medicine Physician
052047
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
T85360
—
SC
Enumeration date
03/10/2006
Last updated
10/10/2025
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