Individual
ALISON RICHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
411 MAIN ST, COLUMBIA, LA 71418-6704
(318) 649-6111
Mailing address
PO BOX 120, COLUMBIA, LA 71418-0120
(901) 831-7513
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
330207
LA
Other
Enumeration date
05/23/2022
Last updated
05/23/2022
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