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Individual
WENDELL L RICHARDSON
Active
Individual
WENDELL L RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2006-01430
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
144CA
BCBS OF NC
NC
05
—
5905736
—
NC
Enumeration date
11/30/2006
Last updated
07/09/2007
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