Individual
RICHARD JOSEPH PIERZCHAJLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1489 KENNEDY RD, TIFTON, GA 31794-4159
(229) 391-9931
(229) 391-9961
Mailing address
1489 KENNEDY RD, TIFTON, GA 31794-4159
(229) 391-9931
(229) 391-9961
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
022620
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000232647G
—
GA
Enumeration date
06/23/2005
Last updated
11/29/2010
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