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Individual

DR. RANDOLPH M RICHARDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
787 WEATHERLY DR, SUITE 200, CLARKSVILLE, TN 37043-8949
(931) 647-1255
(931) 647-2399
Mailing address
3024 BUSINESS PARK CIR, GOODLETTSVILLE, TN 37072-3132
(615) 239-2018
(615) 851-2018

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
21029
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6039655
BLUECROSS
01
621860059
TRICARE
TN
01
62186005901
AMERICHOICE
TN
05
Q012480
TN
Enumeration date
08/18/2006
Last updated
04/21/2026
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