Individual
GHARI N RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4625 RAIN WOOD CIR, VALDOSTA, GA 31602-0835
(229) 244-3530
Mailing address
4625 RAIN WOOD CIR, VALDOSTA, GA 31602-0835
(229) 244-3530
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
059948
GA
207LP2900X
Pain Medicine (Anesthesiology) Physician
207959-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134304244B
—
GA
05
—
134304244C
—
GA
Enumeration date
08/14/2006
Last updated
06/13/2016
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