Individual
MICHELLE R RICHARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4939 LOWER ROSWELL RD, MARIETTA, GA 30068-4338
(770) 578-1519
Mailing address
1634 NORTHWOODS DR, MARIETTA, GA 30066-4237
(770) 655-4157
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
GA
Other
Enumeration date
11/17/2021
Last updated
12/29/2025
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