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Patrice Tracy-ann Richardson, MD
Pediatrics Physician in Greenville, South Carolina
NPI 1518134212

Patrice Tracy-ann Richardson is a Pediatrics Physician based in Greenville, SC. Patrice Tracy-ann Richardson practices in Greenville, SC and has the professional credentials of MD. The NPI Number for Patrice Tracy-ann Richardson is 1518134212 and holds a License No. 2009-01481 (South Carolina).

The current practice location address for Patrice Tracy-ann Richardson is 20 Medical Ridge Dr, Greenville, SC and can be reached out via phone at 864-220-7270.

Location: 20 Medical Ridge Dr, Greenville, SC, 29615-4545
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518134212
Provider Name
Patrice Tracy-ann Richardson
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
20 Medical Ridge Dr, Greenville, SC, 29615-4545
Phone Number
864-220-7270
Fax Number
Provider Enumeration Date
05/12/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
AA64073365 01 SC MEDICARE PIN
AA64074862 01 SC MEDICARE PIN
333918 05 SC
institution
Provider Business Practice Location Address Details
Address
20 Medical Ridge Dr
City
Greenville
State
South Carolina
Zip
29605-4267
Phone Number
864-220-7270
Fax Number
person
Provider Business Mailing Address Details
Address
20 Medical Ridge Dr
City
Greenville
State
South Carolina
Zip
29605-4267
Phone Number
864-220-7270
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
208000000X
License No.
135460 (North Carolina)
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
2009-01481 (North Carolina)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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