Individual
W SCOTT RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 OGLETHORPE AVE, SUITE 200D, ATHENS, GA 30606-2179
(706) 389-3875
(706) 389-3876
Mailing address
PO BOX 48089, ATHENS, GA 30604-8089
(706) 389-3950
(706) 389-3951
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
066804
GA
207R00000X
Internal Medicine Physician
35.080564
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2322687
—
OH
Enumeration date
06/07/2006
Last updated
05/02/2017
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