Provider Demographics
NPI:1881012326
Name:RICHARDSON, MEGHAN WILLS (MD)
Entity type:Individual
Prefix:
First Name:MEGHAN
Middle Name:WILLS
Last Name:RICHARDSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1300 W BROAD ST DEPT OF
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23284-9058
Mailing Address - Country:US
Mailing Address - Phone:804-364-6333
Mailing Address - Fax:
Practice Address - Street 1:9000 STONY POINT PKWY
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23235-1900
Practice Address - Country:US
Practice Address - Phone:804-560-8945
Practice Address - Fax:804-828-4762
Is Sole Proprietor?:No
Enumeration Date:2014-04-02
Last Update Date:2025-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2019-00946207X00000X
VA0101269062207X00000X, 207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery