Individual
MISS LEAH RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
519 BLACKBURN DR STE 523, AUGUSTA, GA 30907-8202
(706) 524-7134
Mailing address
PO BOX 459, AIKEN, SC 29802-0459
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
28030
SC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
GAA-NP002259
GA
Other
Enumeration date
10/19/2023
Last updated
05/15/2024
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