Individual
RICHARD HOWARD PIKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2400 MT. ZION PARKWAY, KAISER PERMANENTE SOUTHWOOD MEDICAL CENTER, JONESBORO, GA 30236
(404) 355-0743
(404) 943-0641
Mailing address
3495 PIEDMONT ROAD, NE, NINE PIEDMONT CENTER, ATLANTA, GA 30305
(404) 504-5678
(404) 355-2136
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
047640
GA
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
047640
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000924382B
—
GA
01
—
0486290001
DME
—
Enumeration date
08/10/2005
Last updated
02/14/2017
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