Individual provider · Type 1 NPI

Keifer Dewayne Richardson, PA-C

Medical Physician Assistant · Augusta, GA

NPI number 1174031660 Active

Practice location

2050 Walton Way
Augusta, GA 30904-2305

Call (706) 434-1590 Map

Mailing address

526 Richland Ave W
Aiken, SC 29801-3828

Other practice locations

  • 1120 15th St, Augusta, GA 30912-3828 · (706) 721-8623
  • 526 Richland Ave W, Aiken, SC 29801-3828 · (803) 648-3130

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X9335 (GA)
Endocrinology, Diabetes & Metabolism Physician 207RE0101XPA2880 (SC)

Medical Physician Assistant: Definition to come...

9 other providers at this address

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About NPI 1174031660

Keifer Dewayne Richardson, PA-C's National Provider Identifier is 1174031660, issued on Jan 18, 2018. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Augusta, GA. The record was last updated on Jan 16, 2025.