Individual
DR. LARRY SHAY RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2415 MCCALLIE AVE, CHATTANOOGA, TN 37404-3322
(423) 624-2696
(423) 697-2055
Mailing address
2415 MCCALLIE AVE, CHATTANOOGA, TN 37404-3322
(423) 624-2696
(423) 697-2055
Taxonomy
Speciality
Code
Description
License number
State
207PS0010X
Sports Medicine (Emergency Medicine) Physician
Primary
MD45987
TN
208VP0014X
Interventional Pain Medicine Physician
MD45987
TN
Other
Enumeration date
08/01/2006
Last updated
11/07/2012
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