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Individual

MR. RICHARD WENDELL RILEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MASTER SOCIAL WORKER

Contact information

Practice address
VA MEDICAL CENTER 1 FREEDOM WAY, AUGUSTA, GA 30904
(706) 733-0188
Mailing address
4113 QUINN DR, EVANS, GA 30809-4815
(706) 733-0188
(706) 481-6791

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
CSW6185
TN

Other

Enumeration date
09/11/2006
Last updated
07/08/2007
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