William Richardson

NPI #1114685302 in Fort Bragg, North Carolina

Provider Information

NPI Number: 1114685302
Entity Type: Individual
Name: William Richardson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Dec 4, 2021
Last Updated: Dec 15, 2025

Practice Location

Address: 2817 ROCK MERRITT AVE STOP A
City: Fort Bragg
State: North Carolina
ZIP Code: 28310-0001
Phone: (910) 432-2997

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Military Health Care Provider	171000000X
Physician Assistant	363A00000X	Primary

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