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Individual

TANIQUE O. RICHARDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1625 N GEORGE MASON DR, SUITE 425, ARLINGTON, VA 22205-3683
(703) 717-4400
(703) 717-4401
Mailing address
PO BOX 602172, CHARLOTTE, NC 28260-2172
(910) 815-5830
(910) 815-5698

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101257194
VA
207R00000X
Internal Medicine Physician
2012-01122
NC
208M00000X
Hospitalist Physician
2012-01122
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5921222
NC
05
Q0112P
SC
Enumeration date
02/21/2007
Last updated
03/03/2015
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