Provider Demographics
NPI:1427347681
Name:RICHARDS, CONSTANCE SHAMUYARIRA (MD)
Entity type:Individual
Prefix:
First Name:CONSTANCE
Middle Name:SHAMUYARIRA
Last Name:RICHARDS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:307 ADAIR STREET
Mailing Address - Street 2:UNIT F3
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30030
Mailing Address - Country:US
Mailing Address - Phone:441-295-4265
Mailing Address - Fax:441-296-8058
Practice Address - Street 1:307 ADAIR ST
Practice Address - Street 2:UNIT F3
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30030-2958
Practice Address - Country:US
Practice Address - Phone:441-295-4265
Practice Address - Fax:441-296-8058
Is Sole Proprietor?:No
Enumeration Date:2011-03-28
Last Update Date:2011-03-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA025261207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine