Individual
MR. CHADRICK LAMAR RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
235 ALEXANDER LN, BETHLEHEM, GA 30620-1838
(229) 854-9056
Mailing address
720 WESTVIEW DR SW, ATLANTA, GA 30310-1458
(404) 756-1959
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/08/2024
Last updated
05/08/2024
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