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Individual
DR. LARRY SHAY RICHARDSON
Active
Individual
DR. LARRY SHAY RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207PS0010X
Sports Medicine (Emergency Medicine) Physician
Primary
MD45987
TN
208VP0014X
Interventional Pain Medicine Physician
MD45987
TN
Other
Enumeration date
08/01/2006
Last updated
11/07/2012
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