Individual
DAVID RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3000 GETWELL RD, MEMPHIS, TN 38118-2205
(901) 369-8100
Mailing address
PO BOX 1616, P.O. BOX 11407, BIRMINGHAM, AL 35246-1616
(901) 682-6828
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
021808
TN
207R00000X
Internal Medicine Physician
MD21808
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00121388
MS MEDICAID
MS
05
—
140193001
—
AR
05
—
3861105
—
TN
01
—
4046868
BLUE CROSS
TN
01
—
421659814
TRICARE
—
01
—
F44066
HEALTHSPRINGS
TN
Enumeration date
05/06/2006
Last updated
06/06/2013
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