Individual
COREY RICHARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
VANDERBILT MEDICAL CTR, NASHVILLE, TN 37232-0001
(260) 402-3597
Mailing address
219 BROOKRIDGE TRL, NASHVILLE, TN 37211-4780
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1860
TN
Other
Enumeration date
01/15/2015
Last updated
01/15/2015
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