Individual
ELIZABETH O'HARA RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
1348 WALTON WAY STE 6500, AUGUSTA, GA 30901-5111
(706) 722-2118
(706) 722-0342
Mailing address
PO BOX 1705, AUGUSTA, GA 30903-1705
(706) 774-7263
(706) 774-7230
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA2669
SC
Other
Enumeration date
12/07/2016
Last updated
06/14/2022
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