Dr. Richard Lawrence Antonio, M.D.
Family Medicine in Marietta, GA. Individual provider (NPI-1).
NPI number1982998977
StatusActive
Last updated in NPPESMar 31, 2026
Details
- NPI
- 1982998977
- Entity type
- Individual (NPI-1)
- Name
- Dr. Richard Lawrence Antonio
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 7, 2011
- Certification date
- Mar 31, 2026
- Last updated
- Mar 31, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 74176 | GA | Yes |
Practice location
625 S Marietta Pkwy SeMarietta, GA 30060-2748
Phone 470-377-7228 · Fax 470-467-7583
Mailing address
Po Box 740015Atlanta, GA 30374-0015
Phone 312-733-9730
Other practice locations
3625 Dallas Hwy Sw Ste 800
Marietta, GA 30064-5924
Marietta, GA 30064-5924
Phone 770-800-6842 · Fax 678-384-6711
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