Ida M Richmond

Address:
5217 Elderbank Dr, Charlotte, NC 28216-1917
Phone: 7043926648

Ida M Richmond (NPI# 1669523403, PAC ID# 4284769274) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL PSYCHOLOGIST.

Physician Overview

Nation Provider ID (NPI) 1669523403
PAC ID by PECOS 4284769274
Professional Enrollment ID I20100316000516
Full Name Ida M Richmond
Address 5217 Elderbank Dr
Charlotte
NC 28216-1917
Phone Number 7043926648
Gender F
Graduation Year 1981
Primary Specialty CLINICAL PSYCHOLOGIST
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
5217 Elderbank Dr, Charlotte, NC 28216-1917 7043926648

Organization Information

Office Location

Street Address 5217 ELDERBANK DR
City CHARLOTTE
State NC
Zip 28216-1917

Competitor

Search similar physicians

City CHARLOTTE
Zip Code 28216
Specialty CLINICAL PSYCHOLOGIST
City + Specialty CHARLOTTE + CLINICAL PSYCHOLOGIST

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.