Individual
RICHARD MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1199 PRINCE AVE, ATHENS, GA 30606-2797
(706) 543-3449
(706) 543-5744
Mailing address
PO BOX 7337, ATHENS, GA 30604-7337
(706) 543-3449
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
041039
GA
Other
Enumeration date
07/27/2006
Last updated
11/08/2007
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