Search › Georgia › 332B00000X
Edwin Richardson
NPI 1568931707 · on the registry since 2018 · sole proprietor
Practice
- Address
- 4600 Squirrels Nest Ln
Villa Rica, GA 30180 - Phone
- (678) 576-2989
Registry record
- Primary taxonomy
- 332B00000X
332B00000X
- Also registered as
- 172A00000X
332BC3200X
332BD1200X
332BN1400X
347C00000X
347E00000X - Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-11-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia