Individual
DR. BILL G RICHENDOLLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2701 N DECATUR RD, DECATUR, GA 30033-5918
(404) 292-3500
Mailing address
2701 N DECATUR RD, DECATUR, GA 30033-5918
Taxonomy
Speciality
Code
Description
License number
State
207ZH0000X
Hematology (Pathology) Physician
63803
GA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
63803
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
329590015A
—
GA
05
—
329590015B
—
GA
05
—
329590015C
—
GA
Enumeration date
05/07/2008
Last updated
11/06/2018
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