Individual
DR. EMILY ELLIS RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1230 JOHNSON FERRY PL, SUITE A-10, MARIETTA, GA 30068-2048
(678) 560-0511
(678) 560-0739
Mailing address
1230 JOHNSON FERRY PL, SUITE A-10, MARIETTA, GA 30068-2048
(678) 560-0511
(678) 560-0739
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
060066
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
511I080124
MEDICARE
GA
Enumeration date
07/26/2006
Last updated
03/07/2023
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