Individual
RICHARD RICHARDSON SR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1175 COOK RD, ORANGEBURG, SC 29118-8201
(803) 534-0033
(803) 531-3651
Mailing address
1175 COOK RD, ORANGEBURG, SC 29118-8201
(803) 534-0033
(803) 531-3651
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
8874
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
088746
—
SC
Enumeration date
04/22/2006
Last updated
07/08/2007
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