MEDICARE: DWIGHT E RICHARDSON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	347C00000X	Private Vehicle		NC

General Provider Information

NPI Number	:	1093550709
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DWIGHT E RICHARDSON

Provider Business Mailing Address
First Line	:	1142 CURETON PL
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28217-3486
Country	:	US
Telephone Number	:	704-258-9995
Fax Number	:

Provider Business Practice Location Address
First Line	:	1142 CURETON PL
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28217-3486
Country	:	US
Telephone Number	:	704-258-9995
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/26/2024
Last Update Date	:	06/26/2024

Similar Medicare Providers

1568568970 — MRS. CHINITA GEREAN CRAIGHEAD-DAVIS M.ED, LPC, LCAS, CCS
Practice Location Address:

3205 FREEDOM DR STE 2000
CHARLOTTE, NC
28208-3486

Practice Phone: 704-816-0260
Practice Fax:

1104424399 — SHAYLA T. STEWART LISW-CP, LCSW, MPA
Practice Location Address:

3205 FREEDOM DR STE 2000
CHARLOTTE, NC
28208-3486

Practice Phone: 704-975-7343
Practice Fax:

1144008582 — LACEY DANIELLE CAMPBELL LCSW
Practice Location Address:

3205 FREEDOM DR STE 2000
CHARLOTTE, NC
28208-3486

Practice Phone: 980-257-4811
Practice Fax:

1427995711 — LEIGH V SOPEL
Practice Location Address:

4421 STUART ANDREW BLVD
CHARLOTTE, NC
28217-1589

Practice Phone: 980-343-6960
Practice Fax:

1265663181 — JOI BRIDGES INGRAM SLP
Practice Location Address:

4421 STUART ANDREW BLVD
CHARLOTTE, NC
28217-1589

Practice Phone: 980-343-6960
Practice Fax:

1457515819 — SHARON SCHENCK
Practice Location Address:

4421 STUART ANDREW BLVD
CHARLOTTE, NC
28217-1589

Practice Phone: 980-343-6960
Practice Fax:

Directions to “ DWIGHT E RICHARDSON ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.