Provider Demographics
NPI:1982691978
Name:RICHIN, PAUL F (MD)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:F
Last Name:RICHIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:505 IRVIN CT
Mailing Address - Street 2:SUITE 200
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30030-1778
Mailing Address - Country:US
Mailing Address - Phone:404-294-4111
Mailing Address - Fax:404-292-3505
Practice Address - Street 1:505 IRVIN CT
Practice Address - Street 2:SUITE 200
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30030-1778
Practice Address - Country:US
Practice Address - Phone:404-294-4111
Practice Address - Fax:404-292-3505
Is Sole Proprietor?:No
Enumeration Date:2005-10-04
Last Update Date:2019-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA20595174400000X
GA020595207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00297822AMedicaid
GA00297822AMedicaid