Individual
DR. CAROL RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
284 EXECUTIVE PARK DR STE 100, CONCORD, NC 28025-1833
(704) 939-1100
(704) 939-1173
Mailing address
4550 COUNTRY CLUB RD, WINSTON SALEM, NC 27104-3518
(336) 760-1330
(336) 760-1341
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
29646
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8971543
—
NC
Enumeration date
06/14/2006
Last updated
07/21/2022
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