Individual
MRS. TAMARA CHANETTE RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
610 19TH ST, COLUMBUS, GA 31901-1528
(706) 322-7884
(706) 780-6075
Mailing address
2675 WINKLER AVE STE 200, FORT MYERS, FL 33901-9328
(877) 856-3774
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5806
GA
363AM0700X
Medical Physician Assistant
Primary
5806
GA
363AM0700X
Medical Physician Assistant
APA1596
OK
Other
Enumeration date
01/31/2007
Last updated
04/06/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us