Individual
EVELYN RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
836 GLENDALE RD, GALAX, VA 24333-2490
(276) 236-9991
Mailing address
2045 EXCELSIOR SCHOOL RD, LAUREL FORK, VA 24352-4015
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2306601520
VA
Other
Enumeration date
04/14/2019
Last updated
04/14/2019
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