MEDICARE: DR. PATRICIA L RICH MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RX0202X	Medical Oncology Physician	036116049	IL
2	207RX0202X	Medical Oncology Physician	01092296A	IN
3	207RX0202X	Medical Oncology Physician	69987	GA

General Provider Information

NPI Number	:	1386750149
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PATRICIA L RICH MD

Provider Business Mailing Address
First Line	:	600 CELEBRATE LIFE PKWY
Second Line	:
City	:	NEWNAN
State	:	GA
Zip	:	30265-8001
Country	:	US
Telephone Number	:	312-519-8308
Fax Number	:

Provider Business Practice Location Address
First Line	:	1800 HOWELL MILL RD NW STE 130
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30318-0916
Country	:	US
Telephone Number	:	404-605-5000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/22/2006
Last Update Date	:	04/02/2024

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