Individual
MARK A RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
908 SOUTH 20TH STREET, BIRMINGHAM, AL 35205
(205) 934-4108
Mailing address
PO BOX 55309, BIRMINGHAM, AL 35255-5309
(205) 731-9050
(205) 297-9411
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
10/15/2009
Last updated
10/15/2009
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