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Individual

DR. GARY MEADE RICHARDSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
300 N COLLEGE ST, GREENVILLE, AL 36037-2025
(334) 382-2681
(334) 383-9541
Mailing address
300 N COLLEGE ST, GREENVILLE, AL 36037-2025
(334) 382-2681
(334) 383-9541

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
MD.30478
AL
208D00000X
General Practice Physician
ME111635
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
128794
AL
01
1871003533
GROUP NPI
01
511-17014
BC/BS
AL
Enumeration date
08/26/2010
Last updated
10/19/2017
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