Individual
REGINA X RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
115 ELKWOOD ST, MAULDIN, SC 29662-2014
(864) 420-9860
(864) 438-4875
Mailing address
115 ELKWOOD ST, MAULDIN, SC 29662-2014
(864) 420-9860
(864) 438-4875
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
11/01/2024
Last updated
11/01/2024
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