# DAVID RICHARDSON MD INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942402359
- **Authorized official:** DAVID RICHARDSON MD (PHYSICIAN OWNER)
- **Authorized official phone:** (901) 682-6828

## Contact information

- **Practice address:** 1068 CRESTHAVEN RD, SUITE 150, MEMPHIS, TN 38119-0800
- **Practice address phone:** (901) 682-6828
- **Mailing address:** 1068 CRESTHAVEN RD, SUITE 150, MEMPHIS, TN 38119-0800

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 208M00000X | Hospitalist Physician | — | NULL | Yes |
| 208M00000X | Hospitalist Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/05/2007
- **Last updated:** 11/15/2016