Individual
DR. JONATHAN M RICHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1638 OWEN DR, FAYETTEVILLE, NC 28304-3424
(910) 615-3350
Mailing address
PO BOX 1749, PINEHURST, NC 28370-1749
(910) 295-6868
(910) 295-1514
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
36587
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
130017524
RR MEDICARE
NC
01
—
71645
BCBS NC
NC
05
—
8971645
—
NC
01
—
N36595
SC MEDICAID
SC
Enumeration date
04/24/2006
Last updated
05/20/2025
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