| Doctor Name: | DR. GARY MEADE RICHARDSON |
| NPI Number: | 1710293881 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | ME111635 |
| Business Practice Address: | 300 N College St Greenville, AL - 360372025 |
| Business Phone Number: | 3343822681 |
| Business Fax Number: | 3343839541 |
| Mailing Address: | 300 N College St, GREENVILLE |
| State: | AL |
| Postal Code: | 360372025 |
| Phone Number: | 3343822681 |
| Fax Number: | 3343839541 |
| NPI Enumeration Date: | 08/26/2010 |
| NPI Last Update Date: | 03/20/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | ME111635 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |