Organization
PHYSICIAN HOME CARE
Active
Other names
PHYSICIANS HOME CARE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REGINALD BARNETTE RICHARDSON JR. DPM (PODIATRISTS)
(704) 737-6126
Entity
Organization
Contact information
Practice address
1801 N TRYON ST # 314, CHARLOTTE, NC 28206-2704
(704) 737-6126
Mailing address
1801 N TRYON ST # 314, CHARLOTTE, NC 28206-2704
(704) 737-6126
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7704960
—
NC
Enumeration date
09/02/2009
Last updated
09/02/2009
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