Individual
ROBERT JESSIE RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1108 ROSS CLARK CIR, DOTHAN, AL 36301-3022
(334) 793-8000
Mailing address
5812 S STATE HIGHWAY 605, DOTHAN, AL 36301-6514
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
1-121895
AL
367500000X
Certified Registered Nurse Anesthetist
Primary
9464205
FL
Other
Enumeration date
01/10/2015
Last updated
01/18/2021
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