Individual
VANESSA RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2525 CUMBERLAND PKWY SE, ATLANTA, GA 30339-3915
(404) 365-0966
Mailing address
2525 CUMBERLAND PKWY SE, ATLANTA, GA 30339-3915
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
83661
GA
Other
Enumeration date
04/03/2013
Last updated
08/05/2022
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