BARTLEY R. RICHARDS, DO PC
Ambulatory Health at Washington St, Jefferson, GA

License number
Georgia 033883
Category
Ambulatory Health
Type
Clinic/Center
Owner
Name: BARTLEY RUARK RICHARDS D.O.
Title: CEO
Phone: (706) 367-5006
Address
Address
1654 Washington St, Jefferson, GA 30549
National Provider ID: 1023230620
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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BARTLEY R. RICHARDS, D.O., PC

1654 Washington St, Jefferson, GA 30549

Registration:
Mar 11, 2004
State ID:
0416594
Business type:
Domestic Professional Corporation
Secretarys:
Ruark Bartley Richards (CEO), 1654 Washington St, Jefferson, GA 30549 (Physical),Tompkins Suzanna Richards (Secretary), 1654 Washington St, Jefferson, GA 30549 (Physical)
Agent:
Bartley R. Richards,1654 Washington St, Jefferson, GA (Physical)

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