Richardson, Gary Meade

Richardson, Gary Meade is an individual health care provider with primary practice located at 300 N College St , Greenville AL 36037-2025. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Richardson, Gary Meade can be contacted via phone (334) 382-2681.

Contact Information

Primary practice address
300 N College St Greenville AL 36037-2025
Fax: (334) 383-9541
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X ME111635 Florida
Allopathic & Osteopathic Physicians / General Practice 208D00000X MD.30478 Alabama

Profile Details

NPI number 1710293881
LBN Legal business name Richardson, Gary Meade
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 26th, 2010
Last updated Oct 19th, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710293881 NPPES
Alabama Other 511-17014 BC/BS
Alabama MEDICAID 128794 BC/BS
Alabama Other 1871003533 BC/BS

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