NPI Search for Physicians and Health Care Providers
HARRY LEE RICHARDSON MD
>> Emergency Medicine >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1780627356
Individual Registrant:
HARRY LEE RICHARDSON MD
Gender: M
Not Sole Proprietor
Location and contact information for practice:
514 10TH AVE SW REFORM, AL 35481 US
Tel: 205-375-6251 Fax: 205-375-8199
Contact information for business:
PO BOX 670 REFORM, AL 35481-0670 US
Tel: 205-375-6251 Fax: 205-375-8199
Registration Information:
NPI: 1780627356
Entity Type: Individual
Specialty information:
Primary | Code | Category/Description | State | License Number |
---|
N | 207P00000X | Allopathic & Osteopathic Physicians Emergency Medicine
| MS | 10330 |
Y | 207Q00000X | Allopathic & Osteopathic Physicians Family Medicine | AL | 11725 |
Legacy codes, insurance codes and state license numbers:
Issuer | Number | State | Type |
---|
BLUE CROSS | 562251777 | MS | 01 |
| 00120095 | MS | 05 |
ALABAMA MEDICAID | 009972520 | MS | 01 |
ALABAMA BLUE CROSS | 7306387RIC | MS | 01 |
RAILROAD MEDICARE | P00204381 | MS | 01 |
HEALTH CARE JOBS AL - Page 1