Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. LARRY SHAY RICHARDSON, MD
ActiveSports Medicine (EM) · CHATTANOOGA, TN
Registration Details
- NPI Number
- 1992712137
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 1, 2006 (19.723693337973 yrs)
- Last Updated
- Nov 7, 2012
- Licenses
-
MD45987 (TN)MD45987 (TN)
Practice Information
- Address
-
2415 MCCALLIE AVECHATTANOOGA, TN, 374043322Browse TN providers · Browse ZIP 37404
- Phone
- 4236242696
- Fax
- 4236972055
- Primary Specialty
-
Sports Medicine (EM)
207PS0010X
- Additional Specialty
- Interventional Vascular Surgery
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.