Individual
MRS. CYNTHIA J RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1502 W 3RD ST STE A, JACKSON, GA 30233-1979
(678) 774-0430
(770) 775-3410
Mailing address
3333 RIVERWOOD PKWY SE STE 250, ATLANTA, GA 30339-3304
(770) 914-0116
(770) 955-4278
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN083527
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
821621557F
—
GA
Enumeration date
06/29/2008
Last updated
10/08/2025
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