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Individual

DR. THOMAS RICHEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
8000 AL HIGHWAY 69, GUNTERSVILLE, AL 35976-7140
(256) 593-8310
Mailing address
PO BOX 1164, DALTON, GA 30722-1164
(706) 271-0100

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
10343
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009912938
AL
01
300021477
RAILROAD MEDICARE
GA
Enumeration date
06/14/2005
Last updated
07/09/2012
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