Provider Demographics
NPI:1013622414
Name:RICHEY, SHERONDA RENEE (DC)
Entity type:Individual
Prefix:DR
First Name:SHERONDA
Middle Name:RENEE
Last Name:RICHEY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7998 CREEK FLOW DR
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:GA
Mailing Address - Zip Code:31820-7100
Mailing Address - Country:US
Mailing Address - Phone:706-341-3879
Mailing Address - Fax:
Practice Address - Street 1:5771 VETERANS PKWY
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31904-9091
Practice Address - Country:US
Practice Address - Phone:706-801-4155
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-19
Last Update Date:2023-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR010936111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor