Individual
BARTLEY R RICHARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1654 WASHINGTON ST, JEFFERSON, GA 30549-2666
(706) 367-5006
(706) 367-7711
Mailing address
1654 WASHINGTON ST, JEFFERSON, GA 30549-2666
(706) 367-5006
(706) 367-7711
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
033883
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000511662D
—
GA
Enumeration date
09/15/2006
Last updated
06/25/2013
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