Individual
RICHARD HARRIS MANSFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2001 BROOKSTONE CENTRE PKWY, COLUMBUS, GA 31904-4572
(706) 571-9699
(706) 571-9565
Mailing address
2001 BROOKSTONE CENTRE PKWY, COLUMBUS, GA 31904-4572
(706) 571-9699
(706) 571-9565
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
044526
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5160931003
CIGNA
—
Enumeration date
05/19/2006
Last updated
08/30/2011
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