Provider Demographics
NPI:1447585468
Name:CARGILL, G. RICHMOND
Entity Type:Individual
Prefix:
First Name:G. RICHMOND
Middle Name:
Last Name:CARGILL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:514 HANOVER ST
Mailing Address - Street 2:
Mailing Address - City:FALL RIVER
Mailing Address - State:MA
Mailing Address - Zip Code:02720-3742
Mailing Address - Country:US
Mailing Address - Phone:508-674-5461
Mailing Address - Fax:
Practice Address - Street 1:2501 COTTONTAIL LN
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:NJ
Practice Address - Zip Code:08873-5125
Practice Address - Country:US
Practice Address - Phone:609-578-9465
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-10-08
Last Update Date:2016-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist