Individual
DR. DONNIE JOE RICHARDSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
516A LINCOLN RD, COLUMBUS, MS 39705-2226
(662) 328-8001
(888) 852-8644
Mailing address
516A LINCOLN RD, COLUMBUS, MS 39705-2226
(662) 328-8001
(888) 852-8644
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3463-08
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02150825
—
MS
Enumeration date
11/20/2007
Last updated
06/02/2010
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