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NPI Code Detail

MEDICARE: DR. CHRISTINA H RICH MD

MEDICARE: DR. CHRISTINA H 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
1174400000XSpecialist49577GA
2207R00000XInternal Medicine Physician49577GA

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 : 1477551943
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHRISTINA H RICH MD
Provider Business Mailing Address
First Line : PO BOX 742616
Second Line :
City : ATLANTA
State : GA
Zip : 30374-2616
Country : US
Telephone Number : 770-219-8420
Fax Number :
Provider Business Practice Location Address
First Line : 1515 RIVER PL STE 200
Second Line :
City : BRASELTON
State : GA
Zip : 30517-5603
Country : US
Telephone Number : 770-848-6140
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2005
Last Update Date : 10/15/2020

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Directions to “ DR. CHRISTINA H RICH MD” Practice Location

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