Individual
DR. JAMES M. RICHARDSON, JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
804 W MAIN ST, LAKE CITY, SC 29560-4400
(843) 374-8010
(843) 374-2030
Mailing address
804 W MAIN ST, LAKE CITY, SC 29560-4400
(843) 374-8010
(843) 374-2030
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2547
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZ2547
—
SC
Enumeration date
10/11/2006
Last updated
07/08/2007
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