Individual provider · Type 1 NPI

Reginald Barnette Richardson Jr., DPM

Foot & Ankle Surgery Podiatrist · Charlotte, NC

NPI number 1104083427 Active

Practice location

3333 Wilkinson Blvd
Charlotte, NC 28208-5631

Call (704) 737-6126 Map

Mailing address

PO Box 668093
Charlotte, NC 28266-8093

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist Primary 213ES0103X310 (NC)

Foot & Ankle Surgery Podiatrist: Definition to come...

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About NPI 1104083427

Reginald Barnette Richardson Jr., DPM's National Provider Identifier is 1104083427, issued on May 22, 2008. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Charlotte, NC. The record was last updated on Sep 9, 2008.