Individual
AUGUSTUS CULLEN RICHARDSON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
605 N WESTOVER BLVD, ALBANY, GA 31707-2188
(229) 434-4200
(229) 434-4208
Mailing address
605 N WESTOVER BLVD, ALBANY, GA 31707-2188
(229) 434-4200
(229) 434-4208
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
022464
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00300616B
—
GA
Enumeration date
09/29/2005
Last updated
06/02/2016
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