Individual
KARL MATTHEW RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
MEDICAL CENTER DR, WINSTON SALEM, NC 27157-0001
(336) 716-2255
Mailing address
MEDICAL CENTER DR, WINSTON SALEM, NC 27157-0001
(336) 716-2255
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT197327
PA
207RC0000X
Cardiovascular Disease Physician
Primary
2016-00937
NC
390200000X
Student in an Organized Health Care Education/Training Program
MT197327
PA
Other
Enumeration date
05/05/2010
Last updated
10/14/2016
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