DR. Charlie E Richardson, M.D.

NPI #1063401925 in Madison, Florida

Provider Information

NPI Number: 1063401925
Entity Type: Individual
Name: DR. Charlie E Richardson, M.D.
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Surgery
Credential: M.D.
Enumeration Date: Oct 13, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 309 NE MARION ST
City: Madison
State: Florida
ZIP Code: 32340-2511
Phone: (850) 973-3456

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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