person
Tommie Mack Richardson, MD
Addiction Medicine (Family Medicine) Physician in Smyrna, Georgia
NPI 1013006584

Tommie Mack Richardson is an Addiction Medicine (Family Medicine) Physician based in Smyrna, GA and is specialized in Addiction Medicine. Tommie Mack Richardson practices in Smyrna, GA and has the professional credentials of MD. The NPI Number for Tommie Mack Richardson is 1013006584 and holds a License No. 031313 (Georgia).

The current practice location address for Tommie Mack Richardson is 400 Technology Ct Se Ste J, Smyrna, GA and can be reached out via phone at 770-866-5700 and via fax at 770-436-7143. You can also correspond with Tommie Mack Richardson through the mailing address at 4015 S COBB DR, SMYRNA, GA - 30080 (mailing address contact number: 770-431-2354).

Location: 400 Technology Ct Se Ste J, Smyrna, GA, 30080
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Provider Profile Details
NPI Number
1013006584
Provider Name
Tommie Mack Richardson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
400 Technology Ct Se Ste J, Smyrna, GA, 30080
Phone Number
770-866-5700
Fax Number
770-436-7143
Provider Enumeration Date
10/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000471479F 05 GA
institution
Provider Business Practice Location Address Details
Address
400 Technology Ct Se Ste J
City
State
Zip
30082-5237
Phone Number
770-866-5700
Fax Number
770-436-7143
person
Provider Business Mailing Address Details
Address
4015 S Cobb Dr
City
State
Zip
30080
Phone Number
770-431-2354
Fax Number
770-436-7143
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
31313 (Georgia)
Definition
Definition to come...
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Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Addiction Medicine
Taxonomy
License No.
031313 (Georgia)
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
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