Individual
CANDIE M RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3535 SOUTHERN BLVD, KETTERING, OH 45429-1221
(937) 395-8166
Mailing address
725 GLENWOOD DRIVE, SUITE E-487, CHATTANOOGA, TN 37404
(423) 697-0014
(423) 648-6280
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35.084133
OH
207P00000X
Emergency Medicine Physician
MD45988
TN
207P00000X
Emergency Medicine Physician
N1427
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1521416
—
TN
Enumeration date
10/25/2005
Last updated
10/09/2024
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