Organization
JEFFREY K RICHARDS MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY K RICHARDS M.D. (OWNER/PHYSICIAN)
(843) 769-5777
Entity
Organization
Contact information
Practice address
1548 ASHLEY RIVER RD, CHARLESTON, SC 29407-5296
(843) 769-5777
(843) 875-2873
Mailing address
1548 ASHLEY RIVER RD, CHARLESTON, SC 29407-5296
(843) 769-5777
(843) 875-2873
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
8566
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP0191
—
SC
Enumeration date
11/01/2007
Last updated
11/01/2007
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