Organization
RICHARDSON & BAKER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL WALDROP (OFFICE MGR)
(205) 221-4916
Entity
Organization
Contact information
Practice address
3400 HIGHWAY 78 E, MEDICAL ARTS TOWER SUITE 502, JASPER, AL 35501-8907
(205) 221-4916
(205) 221-4939
Mailing address
3400 HIGHWAY 78 E, MEDICAL ARTS TOWER SUITE 502, JASPER, AL 35501-8907
(205) 221-4916
(205) 221-4939
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
528300590
—
AL
Enumeration date
04/16/2008
Last updated
03/11/2011
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