Richard J Breckwoldt, M.D.

NPI #1942297106 in Hiram, Georgia

Provider Information

NPI Number: 1942297106
Entity Type: Individual
Name: Richard J Breckwoldt, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Internal Medicine
Credential: M.D.
Enumeration Date: Oct 4, 2005
Last Updated: Jun 16, 2014

Practice Location

Address: 5604 WENDY BAGWELL PKWY
Address 2: SUITE 711
City: Hiram
State: Georgia
ZIP Code: 30141-7813
Phone: (678) 384-0800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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