Individual
DICK A. RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1918 RANDOLPH RD, SUITE 175, CHARLOTTE, NC 28207-1100
(704) 316-1050
(704) 316-1051
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
(704) 316-1050
(704) 316-1051
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
100207
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8101711
—
NC
01
—
P00353924
RAILROAD MEDICARE
NC
Enumeration date
02/24/2006
Last updated
02/14/2013
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