Individual
CALEB RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1301 TAYLOR ST STE 8A, COLUMBIA, SC 29201
(803) 929-2955
(803) 929-2979
Mailing address
PO BOX 743904, ATLANTA, GA 30374-3904
(803) 434-1488
(803) 434-1537
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
82304
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
823041
—
SC
Enumeration date
06/21/2016
Last updated
09/27/2019
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