# MR. JONATHAN D RICHMOND

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1184819583
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 0101265377 | VA | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | 23824 | MS | — |
| 2081H0002X | Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician | 239308 | MA | Yes |

## Other

- **Enumeration date:** 09/09/2007
- **Last updated:** 11/21/2022