Individual
DR. PAUL MCKINLEY RICHARDSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2367B CYPRESS CIR, CONWAY, SC 29526-8921
(843) 349-1001
(843) 349-1008
Mailing address
300 SINGLETON RIDGE ROAD, ATT PATIENT BILLING, CONWAY, SC 29526-9142
(843) 234-6995
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
23051
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
230510
—
SC
Enumeration date
08/24/2005
Last updated
01/30/2023
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