Individual provider · Type 1 NPI

Maria Teresa Richard, PAC

Medical Physician Assistant · Fort Gordon, GA

NPI number 1225190754 Active

Practice location

300 W Hospital Rd
Fort Gordon, GA 30905-5741

Fax (706) 787-8176

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1225190754

Maria Teresa Richard, PAC's National Provider Identifier is 1225190754, issued on Dec 14, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Fort Gordon, GA. The record was last updated on Jul 8, 2007.