Individual
DR. BERTHA PARTHENIA RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
320 LILLINGTON AVE, SUITE 202, CHARLOTTE, NC 28204-3188
(704) 372-0638
(704) 372-0632
Mailing address
320 LILLINGTON AVE, SUITE 202, CHARLOTTE, NC 28204-3188
(704) 372-0638
(704) 372-0632
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
21856
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21872
PARTNERS HEALTHCARE
—
01
—
71541
BCBS OF NC
—
05
—
8971541
—
NC
Enumeration date
05/12/2006
Last updated
05/03/2016
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