Individual
MATTHEW VAUGHN TERRENCE RICHMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3505 SALEM RD, COVINGTON, GA 30016-4551
(229) 291-4946
Mailing address
3505 SALEM RD, COVINGTON, GA 30016-4551
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR010608
GA
Other
Enumeration date
11/17/2023
Last updated
11/17/2023
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