Individual
MARK J RICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(912) 435-6965
Mailing address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(129) 435-6965
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
35085287
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2596945
—
OH
Enumeration date
05/02/2006
Last updated
03/20/2024
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