DEREK M RICHARDSON

GREENVILLE, NC
NPI1205061553
Professional NameDEREK RICHARDSON
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: NC  2015-02469)
Additional Taxonomies207Q00000X Family Medicine
(Licence: CO  DR.0053968)
207Q00000X Family Medicine
(Licence: VA  0101248338)
208M00000X Hospitalist
(Licence: CO  DR.0053968)
208M00000X Hospitalist
(Licence: NC  2015-02469)
Enumeration Date2009-05-15
Last Update Date2021-01-28
Business Address
DEREK M RICHARDSON
315 W 2ND ST
GREENVILLE, NC 27834-1969
Phone number: 252-507-0588
Mailing Address
DEREK M RICHARDSON
64 BLEECKER ST # 151
NEW YORK, NY 10012-2410
Phone number: 302-810-1584