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NPI Verification

National Provider Identifier: 1174031660

Keifer Dewayne Richardson, PA-C

Individual Provider

Credentials

PA-C

Primary Specialty

Physician Assistant, Medical

Code: 363AM0700X

All Specialties (2)

Physician Assistant, Medical

Code: 363AM0700X

Primary

Internal Medicine, Endocrinology, Diabetes & Metabolism

Code: 207RE0101X

Practice Address

2050 WALTON WAY

AUGUSTA, GA 309042305

Phone: 706-434-1590

NPI Enumeration Date

January 18, 2018

NPI Number

1174031660

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry