Individual
DR. RICHARD LAWRENCE ANTONIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
625 S MARIETTA PKWY SE, MARIETTA, GA 30060-2748
(470) 377-7228
(470) 467-7583
Mailing address
PO BOX 740015, ATLANTA, GA 30374-0015
(312) 733-9730
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
74176
GA
Other
Enumeration date
06/07/2011
Last updated
03/31/2026
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