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Individual
DAVID RICHARDSON
Active
Individual
DAVID RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
021808
TN
207R00000X
Internal Medicine Physician
MD21808
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00121388
MS MEDICAID
MS
05
—
140193001
—
AR
05
—
3861105
—
TN
01
—
4046868
BLUE CROSS
TN
01
—
421659814
TRICARE
—
01
—
F44066
HEALTHSPRINGS
TN
Enumeration date
05/06/2006
Last updated
06/06/2013
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