Kathleen Richardson, MD | |
39 Kent Rd Ste 2, Tifton, GA 31794-1697 | |
(229) 388-9393 | |
(229) 388-9855 |
Full Name | Kathleen Richardson |
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Gender | Female |
Speciality | Family Medicine |
Location | 39 Kent Rd Ste 2, Tifton, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275979361 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 26527 (West Virginia) | Secondary |
207Q00000X | Family Medicine | 84465 (Georgia) | Primary |
Entity Name | Charleston Area Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124248752 PECOS PAC ID: 3375441637 Enrollment ID: O20031223000426 |
Mailing Address | Practice Location Address |
---|---|
Kathleen Richardson, MD 4111 1st Ave, Ste 3, Nitro, WV 25143-1345 Ph: (304) 285-7200 | Kathleen Richardson, MD 39 Kent Rd Ste 2, Tifton, GA 31794-1697 Ph: (229) 388-9393 |
Benjamin R Hess, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2225 Us Highway 41 N, Tifton, GA 31794 Phone: 229-391-4100 | |
Mr. Carl David Johnson Iii, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 612 Love Ave, Tifton, GA 31794 Phone: 229-391-3300 Fax: 229-388-1948 | |
Troy A Clifton, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 901 18th St E, Tifton, GA 31794 Phone: 229-353-6051 | |
Dr. Catherine Rae Cravey, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 901 18th St E, Tifton, GA 31794 Phone: 229-353-4325 | |
Robert J Hawes, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2225 Us Highway 41 N, Tifton, GA 31794 Phone: 229-391-4100 | |
Dr. Norris Kent Burton, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 907 18th St E, Suite 140, Tifton, GA 31794 Phone: 229-353-4325 | |
Dr. Parviz Brahman, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1805 Tift Ave N Ste D, Tifton, GA 31794 Phone: 229-382-5554 Fax: 229-382-0530 |