Individual
MR. LARRY BRADEN RICHMOND JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
731 LEIGHTON AVE, SUITE 401, ANNISTON, AL 36207-5761
(256) 435-2229
(256) 782-2904
Mailing address
731 LEIGHTON AVE, SUITE 401, ANNISTON, AL 36207-5761
(256) 435-2229
(256) 782-2904
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
19452
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051503068
—
AL
01
—
51503068
BCBS
AL
Enumeration date
11/21/2005
Last updated
09/21/2016
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