Healthcare Provider Details

I. General information

NPI: 1598896144
Provider Name (Legal Business Name): ROBERT W RICHARDS JR. M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/07/2007
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 CUTTING HORSE CT
SIMPSONVILLE SC
29680-6570
US

IV. Provider business mailing address

7 CUTTING HORSE CT
SIMPSONVILLE SC
29680-6570
US

V. Phone/Fax

Practice location:
  • Phone: 864-616-2183
  • Fax: 864-616-2183
Mailing address:
  • Phone: 864-616-2183
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number16540
License Number StateSC
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number16540
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: