Healthcare Provider Details

I. General information

NPI: 1942223623
Provider Name (Legal Business Name): KAREN LYNNE RICHTER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/25/2006
Last Update Date: 03/23/2022
Certification Date: 03/23/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5500 W FRIENDLY AVE STE 201
GREENSBORO NC
27410-4368
US

IV. Provider business mailing address

5500 W FRIENDLY AVE STE 201
GREENSBORO NC
27410-4368
US

V. Phone/Fax

Practice location:
  • Phone: 336-856-0801
  • Fax: 336-856-2804
Mailing address:
  • Phone: 336-856-0801
  • Fax: 336-856-2804

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number9500434
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number52578
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: