Provider Demographics
NPI:1124003959
Name:RICHARDSON, JAMES M (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:M
Last Name:RICHARDSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:7550 GOODWIN RD
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37421-3182
Mailing Address - Country:US
Mailing Address - Phone:423-894-3252
Mailing Address - Fax:423-894-2237
Practice Address - Street 1:7550 GOODWIN RD
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37421-3182
Practice Address - Country:US
Practice Address - Phone:423-894-3252
Practice Address - Fax:423-894-2237
Is Sole Proprietor?:No
Enumeration Date:2005-12-14
Last Update Date:2012-06-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN16476208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics