Individual provider · Type 1 NPI

Chadrick Lamar Richardson, PA

Surgical Physician Assistant · Bethlehem, GA

NPI number 1215785993 Active

Practice location

235 Alexander Ln
Bethlehem, GA 30620-1838

Mailing address

720 Westview Dr SW
Atlanta, GA 30310-1458

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X14124 (GA)

Surgical Physician Assistant: Definition to come...

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About NPI 1215785993

Chadrick Lamar Richardson, PA's National Provider Identifier is 1215785993, issued on May 8, 2024. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Bethlehem, GA. The record was last updated on Jul 22, 2026.