Individual ProviderW Scott RichardsonInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address1500 Oglethorpe Ave, Suite 200d, Athens, GA 30606-2179(706) 389-3875(706) 389-3950PECOS EnrollmentBased on the most recent information from CMS, provider W Scott Richardson does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1326088402Provider TypeIndividualFull NameRichardson, W ScottCredentialMDGenderMaleSole ProprietorNoEnumeration Date6/7/2006Last Updated5/2/2017Contact InformationPractice LocationPractice Address1500 Oglethorpe Ave, Suite 200d, Athens, GA 30606-2179Phone(706) 389-3875Fax(706) 389-3876Mailing LocationMailing AddressPO Box 48089, Athens, GA 30604-8089Phone(706) 389-3950Fax(706) 389-3951Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense066804GeorgiaCode207R00000XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense35.080564OhioProvider IdentifiersIDDescriptionIssuerID2322687DescriptionMedicaidIssuerUnlistedOhio