Individual
RICHARD K CHASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
300 MEDICAL COURT, OGLETHORPE, GA 31068-3706
(478) 472-8178
(478) 472-3289
Mailing address
PO BOX 801, OGLETHORPE, GA 31068-0801
(478) 472-6713
(478) 472-5142
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
017784
GA
207Q00000X
Family Medicine Physician
Primary
017784
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000113847G
—
GA
Enumeration date
06/13/2006
Last updated
10/19/2010
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