Individual
DR. MICHAEL D RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
613 E ROOSEVELT BLVD, MONROE, NC 28112-5124
(704) 283-8193
(704) 283-7252
Mailing address
PO BOX 601888, CHARLOTTE, NC 28260-1888
(704) 283-8193
(704) 283-7252
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
200400954
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1841218005
—
NC
05
—
306252
—
SC
05
—
891372P
—
NC
01
—
P00251492
MEDICARE RAILROAD ID
NC
Enumeration date
07/17/2006
Last updated
02/22/2017
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