Individual
DR. DEBORAH KAY RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3651 WHEELER RD, AUGUSTA, GA 30909-6521
(706) 651-6544
(706) 651-6158
Mailing address
2560 N SHADELAND AVE, SUITE A, INDIANAPOLIS, IN 46219-1706
(317) 275-8072
(317) 275-8018
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
25025
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0004281068
—
GA
01
—
345836
WELLCARE
GA
01
—
52235752
BCBS
GA
05
—
G25025
—
SC
Enumeration date
03/10/2006
Last updated
12/03/2007
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