Richardson, Patrice Tracy-Ann
Richardson, Patrice Tracy-Ann is an individual health care provider with primary practice located at 20 Medical Ridge Dr , Greenville SC 29605-4267. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Richardson, Patrice Tracy-Ann can be contacted via phone (864) 220-7270.Contact Information
Primary practice address
20 Medical Ridge Dr
Greenville SC 29605-4267
Phone: (864) 220-7270
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 2009-01481 | North Carolina |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | 135460 | North Carolina |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 33391 | South Carolina |
Profile Details
| NPI number | 1518134212 |
|---|---|
| LBN Legal business name | Richardson, Patrice Tracy-Ann |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 12th, 2008 |
| Last updated | Dec 10th, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518134212 | NPPES |
| South Carolina | Other | AA64073365 | MEDICARE PIN |
| South Carolina | Other | AA64074862 | MEDICARE PIN |
| South Carolina | MEDICAID | 333918 | MEDICARE PIN |
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