Individual
IRENE INA RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 SPRINGTREE DR, SUITE 200, COLUMBIA, SC 29223-8612
(803) 741-0044
(803) 741-0040
Mailing address
200 SPRINGTREE DR, COLUMBIA, SC 29223-8612
(803) 741-0044
(803) 741-0040
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
14331
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
143319
—
TX
01
—
571127564
BCBS
—
Enumeration date
03/28/2007
Last updated
05/12/2008
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