Organization
GHARI RICHARDSON MD FOA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GHARI RICHARDSON MD (OWNER)
(229) 244-3530
Entity
Organization
Contact information
Practice address
3811 OLD US HIGHWAY 41 N, VALDOSTA, GA 31602-6807
(229) 244-3530
(229) 244-1531
Mailing address
3811 OLD US HIGHWAY 41 N, VALDOSTA, GA 31602-6807
(229) 244-3530
(229) 244-1531
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
11/04/2016
Last updated
11/04/2016
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