Provider Demographics
NPI:1023668894
Name:RICHMAN, HUNTER DENNARD (PA-C)
Entity type:Individual
Prefix:MS
First Name:HUNTER
Middle Name:DENNARD
Last Name:RICHMAN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2450 OLD MILTON PKWY STE 201
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30009-2521
Mailing Address - Country:US
Mailing Address - Phone:470-267-0360
Mailing Address - Fax:770-999-2691
Practice Address - Street 1:2450 OLD MILTON PKWY STE 201
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30009
Practice Address - Country:US
Practice Address - Phone:470-267-0360
Practice Address - Fax:770-999-2691
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-13
Last Update Date:2024-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA9425363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Single Specialty