Individual
CONNIE WALKER RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
208 PIERSON AVE, CENTREVILLE, AL 35042-2918
(205) 926-3284
(205) 926-4275
Mailing address
208 PIERSON AVENUE, BIBB MEDICAL CENTER, CENTREVILLE, AL 35034
(205) 926-3284
(205) 926-4275
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
21418
AL
207Q00000X
Family Medicine Physician
Primary
21418
AL
207Q00000X
Family Medicine Physician
ME96736
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
276849600
—
FL
Enumeration date
09/23/2006
Last updated
08/27/2025
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