Provider Demographics
NPI:1588631881
Name:RICHARDSON, CRIS RAY (MD)
Entity Type:Individual
Prefix:DR
First Name:CRIS
Middle Name:RAY
Last Name:RICHARDSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1701 WESTCHESTER DR
Mailing Address - Street 2:STE 850
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27262-7254
Mailing Address - Country:US
Mailing Address - Phone:336-802-2400
Mailing Address - Fax:336-802-2001
Practice Address - Street 1:237 N FAYETTEVILLE ST
Practice Address - Street 2:SUITE A
Practice Address - City:ASHEBORO
Practice Address - State:NC
Practice Address - Zip Code:27203-5572
Practice Address - Country:US
Practice Address - Phone:336-626-6371
Practice Address - Fax:336-629-0436
Is Sole Proprietor?:No
Enumeration Date:2006-03-06
Last Update Date:2009-06-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC95-01391207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC891285FMedicaid
NCP00678451OtherRAILROAD MEDICARE
NC891285FMedicaid
NC2291291AMedicare PIN
NC1285FMedicare UPIN