Tommie Mack Richardson in Smyrna - Addiction (substance Use Disorder)

Tommie Mack Richardson - NPI 1013006584

Tommie Mack Richardson is a Addiction (substance Use Disorder) in Smyrna, Georgia. Tommie Mack Richardson practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Tommie Mack Richardson is 1013006584. The last update date is 2023-12-07.

Tommie Mack Richardson's current location address is 400 Technology Ct Se Ste J, Smyrna, Georgia. You can contact this provider via phone number 7708665700 and fax number 7704367143. The mailing address for Tommie Mack Richardson is 400 Technology Ct Se Ste J, Smyrna, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Tommie Mack Richardson
Address 400 Technology Ct Se Ste J, Smyrna, Georgia
Phone Number 7708665700
Fax Number 7704367143
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1013006584
Provider Enumeration Date 2006-10-12
Last Updated Date 2023-12-07

Provider Mailing Address Detail

Address 400 Technology Ct Se Ste J
City Smyrna
State Georgia (GA)
Post Code 300825237
Phone Number 7708665700
Fax Number 7704367143

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Licence No 31313
Definition:
A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
000471479F GA --

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FAQs about Tommie Mack Richardson

What is the unique provider identifier assigned to Tommie Mack Richardson?

The Tommie Mack Richardson has been issued the NPI (National Provider Identifier) 1013006584 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete street address where Tommie Mack Richardson is physically located?

The Tommie Mack Richardson is physically situated at the following address: 400 Technology Ct Se Ste J, Smyrna, GA, 300825237.

What is the Tommie Mack Richardson's specialty and taxonomy code?

The Tommie Mack Richardson's specialty is Addiction (substance Use Disorder), and the corresponding taxonomy code is 101Ya0400X.

When did Tommie Mack Richardson receive its 1013006584 assignment?

The Tommie Mack Richardson was assigned its 1013006584 on 2006-10-12, which is the date when this unique identifier was issued to the organization.

As of what date were the details related to Tommie Mack Richardson most recently updated or revised?

The information pertaining to Tommie Mack Richardson, including its address, specialty, and other relevant details, was last updated or revised on 2023-12-07.

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