Search › Georgia › 363AM0700X

Keifer Richardson, PA-C

NPI 1174031660 · on the registry since 2018 · sole proprietor

Practice

Address
2050 Walton Way
Augusta, GA 30904
Phone
(706) 434-1590
Organisation at this address
Neighborhood Improvement Project Inc
Neighborhood Improvement Project Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
11

Additional practice sites

  • 1120 15th St, Augusta, GA
  • 526 Richland Ave W, Aiken, SC

Registry record

Primary taxonomy
363AM0700X
363AM0700X
Also registered as
207RE0101X
Licence states on file
GA, SC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-01-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia