Individual
DR. RICHARD NANCE II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1710 14TH ST, MERIDIAN, MS 39301-4140
(601) 703-1485
(601) 703-1488
Mailing address
1710 DUVAL STREET, TUSCALOOSA, AL 35406
(205) 394-0113
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO.1602
AL
207Q00000X
Family Medicine Physician
L.4022R
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05001245
—
MS
Enumeration date
04/14/2015
Last updated
10/27/2020
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