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NPI Code Detail

MEDICARE: DAVID RICHARDSON M.D.

MEDICARE: DAVID RICHARDSON M.D.
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
1207P00000XEmergency Medicine Physician021808TN
2207R00000XInternal Medicine PhysicianMD21808TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
34046868OTHERTNBLUE CROSS
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5421659814OTHERTRICARE
6F44066OTHERTNHEALTHSPRINGS

General Provider Information

NPI Number : 1962451252
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID RICHARDSON M.D.
Provider Business Mailing Address
First Line : PO BOX 1616
Second Line : P.O. BOX 11407
City : BIRMINGHAM
State : AL
Zip : 35246-1616
Country : US
Telephone Number : 901-682-6828
Fax Number :
Provider Business Practice Location Address
First Line : 3000 GETWELL RD
Second Line :
City : MEMPHIS
State : TN
Zip : 38118-2205
Country : US
Telephone Number : 901-369-8100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/06/2006
Last Update Date : 06/06/2013

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Directions to “ DAVID RICHARDSON M.D.” Practice Location

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