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Individual
DR. GARY MEADE RICHARDSON
Active
Individual
DR. GARY MEADE RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
MD.30478
AL
208D00000X
General Practice Physician
ME111635
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128794
—
AL
01
—
1871003533
GROUP NPI
—
01
—
511-17014
BC/BS
AL
Enumeration date
08/26/2010
Last updated
10/19/2017
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