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Individual

KATHERINE MARIE RICHARDSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
200 PATEWOOD DRIVE SUITE A200, GREENVILLE, SC 29615-3580
(864) 454-5130
(864) 241-9202
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2016011684
MO
208000000X
Pediatrics Physician
MD82552
SC
2080P0208X
Pediatric Infectious Diseases Physician
Primary
82552
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
825520
SC
Enumeration date
06/12/2013
Last updated
05/10/2021
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