Individual
CHARISSA JOY RICHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
5955 WEDDINGTON RD, WESLEY CHAPEL, NC 28104-6296
(980) 993-8550
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2019-01171
NC
Other
Enumeration date
05/05/2008
Last updated
05/04/2023
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