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NPI Code Detail

MEDICARE: MARGARET A RICHARDSON-NIXON MD

MEDICARE: MARGARET A RICHARDSON-NIXON 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
1207R00000XInternal Medicine Physician55015GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1225033921
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARGARET A RICHARDSON-NIXON MD
Provider Business Mailing Address
First Line : 907 18TH ST E STE 400
Second Line :
City : TIFTON
State : GA
Zip : 31794-3684
Country : US
Telephone Number : 229-353-3450
Fax Number :
Provider Business Practice Location Address
First Line : 2225 US HIGHWAY 41 N
Second Line :
City : TIFTON
State : GA
Zip : 31794-2749
Country : US
Telephone Number : 229-391-4100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2005
Last Update Date : 03/08/2021

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