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Richard Richardson SR., MD
Specialist in Orangeburg, South Carolina
NPI 1508822131

Richard Richardson SR. is a Specialist based in Orangeburg, SC. Richard Richardson SR. practices in Orangeburg, SC and has the professional credentials of MD. The NPI Number for Richard Richardson SR. is 1508822131 and holds a License No. 8874 (South Carolina).

The current practice location address for Richard Richardson SR. is 1175 Cook Rd, Orangeburg, SC and can be reached out via phone at 803-534-0033 and via fax at 803-531-3651.

Location: 1175 Cook Rd, Orangeburg, SC, 29118-8201
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508822131
Provider Name
Richard Richardson SR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1175 Cook Rd, Orangeburg, SC, 29118-8201
Phone Number
803-534-0033
Fax Number
803-531-3651
Provider Enumeration Date
04/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
088746 05 SC
institution
Provider Business Practice Location Address Details
Address
1175 Cook Rd
City
Orangeburg
State
South Carolina
Zip
29118-8201
Phone Number
803-534-0033
Fax Number
803-531-3651
person
Provider Business Mailing Address Details
Address
1175 Cook Rd
City
Orangeburg
State
South Carolina
Zip
29118-8201
Phone Number
803-534-0033
Fax Number
803-531-3651
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
8874 (South Carolina)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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