Individual
DR. ERIK SCOTT RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1190 S 18TH STREET EXT, OXFORD, MS 38655-5378
(662) 236-1927
(662) 236-3727
Mailing address
1190 S 18TH STREET EXT, OXFORD, MS 38655-5378
(662) 236-1927
(662) 236-3727
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
17356
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
302G088746
PTAN GROUP
MS
01
—
302I088746
INDIVIDUAL PTAN
MS
Enumeration date
08/03/2006
Last updated
01/11/2010
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