Doctor Name: | ANNE SHELTON RICHARDSON |
NPI Number: | 1649590191 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 0116022256 |
Business Practice Address: | 501 Billingsley Rd. Charlotte, NC - 28211 |
Business Phone Number: | 7045729239 |
Business Fax Number: | |
Mailing Address: | 501 Billingsley Rd., CHARLOTTE |
State: | NC |
Postal Code: | 28211 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 06/08/2010 |
NPI Last Update Date: | 01/20/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | 0116022256 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | VA |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |