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DR. WAYNE T RICHEY MD

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1073508115

Individual Registrant:
DR. WAYNE T RICHEY MD
Gender: M
Not Sole Proprietor

Location and contact information for practice:
160 CENTRAL AVE  TRION, GA 30753-1125 US
Tel: 706-734-7302  Fax: 706-734-7356

Contact information for business:
PO BOX 406746  ATLANTA, GA 30384-6746 US
Tel: 706-734-7302  Fax: 706-734-7356

Registration Information:
NPI: 1073508115
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
GA050910

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
000940508FGA05
000940508GGA05
000940508DGA05




HEALTH CARE JOBS GA - Page 1



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