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NPI Code Detail

MEDICARE: DR. JEFFREY FRANCIS RICHARDSON M.D.

MEDICARE: DR. JEFFREY FRANCIS RICHARDSON M.D.
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
1174400000XSpecialist025262GA

General Provider Information

NPI Number : 1861494346
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JEFFREY FRANCIS RICHARDSON M.D.
Provider Business Mailing Address
First Line : 6285 BARFIELD RD NE
Second Line : SUITE 250
City : ATLANTA
State : GA
Zip : 30328-4303
Country : US
Telephone Number : 404-303-1224
Fax Number : 404-303-1325
Provider Business Practice Location Address
First Line : 5780 PEACHTREE DUNWOODY RD NE
Second Line : SUITE 295
City : ATLANTA
State : GA
Zip : 30342-1554
Country : US
Telephone Number : 404-255-3633
Fax Number : 404-255-7599
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2005
Last Update Date : 07/09/2007

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