NPI 1093631467

Jacob Carter Richardson, MD

Practitioner Physical Medicine & Rehabilitation Physician Charleston, SC

Practice location

Address: MUSC Graduate Medical Education169 Ashley Avenue Room 202 Main Hospital, Charleston, SC 29425-0001
Phone: (843) 792-2575
Mailing address: 169 Ashley Ave Rm 202, Charleston, SC 29425-8905

Registered specialties

Physical Medicine & Rehabilitation Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence LL97354 (SC)

Other Physical Medicine & Rehabilitation providers in South Carolina →

Registry record

NPI: 1093631467
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Jun 2026
Record last updated: 29 Jun 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.