Organization
LAKE OCONEE URGENT AND SPECIALTY CARE CENTER
Active
Organization
LAKE OCONEE URGENT AND SPECIALTY CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDDIE RICHARDSON M.D. (PHYSICIAN/PRACTICE OWNER)
(706) 484-0884
Entity
Organization
Contact information
Practice address
105 HARMONY XING, SUITE 3, EATONTON, GA 31024-9522
(706) 484-0884
Mailing address
1881 LANCASTER DR SE, CONYERS, GA 30013-6440
(404) 405-7596
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
7235
GA
Other
Enumeration date
07/31/2014
Last updated
07/31/2014
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