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Individual

GARY C RICHTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
550 PEACHTREE ST NE, SUITE 1750, ATLANTA, GA 30308-2263
(404) 881-8319
(404) 523-6791
Mailing address
PO BOX 7865, ATLANTA, GA 30357-0865
(404) 881-8319
(404) 523-6791

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
018182
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00237586B*22
GA
Enumeration date
07/19/2005
Last updated
10/04/2012
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