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DR. WAYNE T RICHEY MD
>> Family Medicine >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1073508115
Individual Registrant:DR. WAYNE T RICHEY MD
Gender: M
Not Sole Proprietor
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
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
Tel: 706-734-7302 Fax: 706-734-7356
Registration Information:
NPI: 1073508115
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 207Q00000X | Allopathic & Osteopathic Physicians Family Medicine | GA | 050910 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 000940508F | GA | 05 | |
| 000940508G | GA | 05 | |
| 000940508D | GA | 05 |
