NPI 1104083427

Reginald Barnette Richardson, DPM

Practitioner Foot & Ankle Surgery Podiatrist Charlotte, NC

Practice location

Address: 3333 Wilkinson Blvd, Charlotte, NC 28208-5631
Phone: (704) 737-6126
Mailing address: PO Box 668093, Charlotte, NC 28266-8093

Registered specialties

Foot & Ankle Surgery Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0103X Licence 310 (NC)

Other Podiatrist providers in North Carolina →

Registry record

NPI: 1104083427
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 May 2008
Record last updated: 9 Sep 2008

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.