Individual
CHARLES PATRICK RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
180 KIMEL PARK DR, SUITE 110, WINSTON SALEM, NC 27103-6976
(336) 397-9700
(336) 397-9701
Mailing address
180 KIMEL PARK DR, SUITE 110, WINSTON SALEM, NC 27103-6976
(336) 397-9700
(336) 397-9701
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
9801464
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891173P
—
NC
Enumeration date
07/27/2006
Last updated
08/27/2013
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