Most Relevant Information
Provider Data
| NPI Number: | 1003011578 |
| Provider Name: | GAA ODETTA RICHARDSON M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 207RG0100X |
| Specialty: | Internal Medicine |
| License Number: | 2004024412 |
Most Important Dates
| Enumeration Date: | 06/15/2007 |
| Last Updated: | 07/27/2010 |
Provider Practice Location
415 N CENTER ST
SUITE 300
HICKORY
NC
286015057
Practice Location Phone/Fax
| Phone: | 8283283300 |
| Fax: | 8283289101 |
Provider Mailing Location
415 N CENTER ST
STE. 300
HICKORY
NC
286015057
Provider Mailing Phone/Fax
| Phone: | 8283283300 |
| Fax: | 8283289101 |
Suggested EMR
Gastroenterology EMR