Individual
JULIA LYNN BLEVINS RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1040 VINEHAVEN DRIVE, CONCORD, NC 28025
(704) 784-1010
(704) 784-1013
Mailing address
1040 VINEHAVEN DRIVE, CONCORD, NC 28025
(704) 784-1010
(704) 784-1013
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
36087
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
043591082
COMMERCIALS
NC
01
—
16269
BLUE CROSS BLUE SHIELD
—
05
—
8916269
—
NC
Enumeration date
07/12/2006
Last updated
03/31/2021
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